Maxim Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

03687 Issued in NH

Legal business name

MAXIM HEALTHCARE SERVICES, INC.

Practice address

19 Kilton Rd BLDG 21
Bedford, NH 03110-6546

Phone

(603) 644-5003

NPI assigned

Aug 31, 2006

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Kowalczyk

Title

Controller

Phone

(410) 910-1500

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861504375. Details of each certification follow.

• CCN 307085 Home health agency · Active · Details

Home health agency certification: CCN 307085

Legal name

MAXIM HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 18, 2005

Last certification

Apr 12, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 2, 1988 in MD

Enrollment address

19 Kilton Rd.
Building 2, 1St Floor
Bedford, NH 03110-2907

Listed as

Maxim Healthcare ServicesCCN 307085 · All quality measures

Ownership

Proprietary

Certified

Jul 18, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Maxim Healthcare Services Inc337 organizations share this tax ID, including this one

Locations

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 69

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Arlington of Naples LLC

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1326771015

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Ashby Ponds, Inc.

  dba Continuing Care at Ashby Ponds

  • Skilled Nursing Facility
  • Ashburn, VA
  • NPI 1871831222

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Casa de Las Campanas, Inc.

  dba Casa de las Campanas

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1770566978

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Chatsworth at Pga National LLC

  • Skilled Nursing Facility
  • Palm Beach Gardens, FL
  • NPI 1114008570

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Clare Propco LLC

  dba Terraces at the Clare

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1902167349

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Eagle's Trace Inc

  dba Continuing Care at Eagle's Trace

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1144580192

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Fox Run Village, Inc.

  dba Continuing Care at Fox Run

  • Skilled Nursing Facility
  • Novi, MI
  • NPI 1750447223

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Heritage Retirement Facilities LLC

  dba Somerfield at The Heritage

  • Skilled Nursing Facility
  • Brentwood, TN
  • NPI 1770694119

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Highland Springs, Inc

  dba Continuing Care at Highland Springs

  • Skilled Nursing Facility
  • Dallas, TX
  • NPI 1558620633

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Lantern Hill, Inc.

  dba Continuing Care at Lantern Hill

  • Skilled Nursing Facility
  • New Providence, NJ
  • NPI 1790222131

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• LCS-Westminster Partnership IV LLP

  dba Acacia Health Center

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1063725117

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Maris Grove, Inc

  dba Continuing Care at Maris Grove

  • Skilled Nursing Facility
  • Glen Mills, PA
  • NPI 1053566455

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1861504375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 LEE DEFOREST DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 KILTON RD BLDG 21",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106546",
            "telephone_number": "603-644-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Elm St",
            "address_2": "Suite 602",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031042943",
            "country_code": "US",
            "telephone_number": "603-644-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "410-910-1500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "03687",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30592085",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30602079",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Margaret Matthes
• Dalena CHI Matthews, NP
• Michael Allen Mattin, MD
• Courtney Ann Matuozzi, OTR/L
• Maxi Drug North Inc (Rite Aid Pharmacy 10279)
• Elizabeth Pylant Bransford Maxwell, MD
• Eric May
• Jacquelyn Mary Mayo, LICSW
• Lisa M Mazzini, PT
• Keith James McAvoy, M.D.

• Home Health Agency in Bedford, NH
• Providers in Bedford, NH by specialty
• Home Health Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.