Organization Active NPI

Max Homecare LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Buckeye, AZ
National Provider Identifier
1851107742
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MAX HOMECARE LLC
Practice address
19752 W Buchanan St
Buckeye, AZ 85326-3054
Phone
(443) 579-6210
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MAX HOMECARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
June DameyNPI 1205685831
Title
Ceo
Phone
(443) 579-6210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

19752 W Buchanan St
Buckeye, AZ 85326-3054

Mailing address

4801 W Krall St
Glendale, AZ 85301-4165
Phone (443) 579-6210

National Provider Directory

National Provider Directory
Part of
Max Homecare LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1851107742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W KRALL ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014165",
            "telephone_number": "443-579-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19752 W BUCHANAN ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263054",
            "telephone_number": "443-579-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAX HOMECARE LLC",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "DAMEY",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-579-6210"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.