Active NPI
Maxim Healthcare Services, Inc.
- Home Health Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA2812
- Legal business name
- MAXIM HEALTHCARE SERVICES, INC.
- Practice address
- 3300 N Central Ave Ste 2500
Phoenix, AZ 85012-2505 - Phone
- (602) 216-0110
- NPI assigned
- Apr 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Sticklin
- Title
- Cfo
- Phone
- (410) 910-1500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA2812 | AZ | Primary |
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
3300 N Central Ave Ste 2500
Phoenix, AZ 85012-2505
Mailing address
7227 Lee Deforest Dr
Columbia, MD 21046-3236
Phone (410) 910-1500
Other practice location 1
11000 N Scottsdale Rd
Suite 215
Scottsdale, AZ 85254-6130
Phone (480) 970-5644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0702500 | Other | AZ | BLUECROSSBLUESHIELD OF AZ |
| 789894 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041115001275 | AZ | Part A Provider - Home Health Agency | 1658288410 | Practice locations: Phoenix, AZ |
Home health agency certification: CCN 037242
- Legal name
- MAXIM HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 25, 2006
- Last certification
- Aug 29, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 2, 1988 in MD
- Enrollment address
- 3300 N Central Ave
Ste 2500
Phoenix, AZ 85012-2505
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Maxim Healthcare Services, Inc. - West Phoenix
- Ownership
- Proprietary
- Certified
- Apr 25, 2006
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider Directory- Tax ID family
- Maxim Healthcare Servise
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1316770100
-
- Home Health Agency
- Tucson, AZ
- NPI 1023198892
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1093420945
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Maxim Healthcare Services Inc | Other | Apr 25, 2006 | 100% |
| Joseph W Marshall | Corporate Director | Jul 1, 2017 | |
| Randall D Sones | Corporate Director | Aug 25, 2009 | |
| Jarrod L Depriest | Corporate Officer | Jan 1, 2022 | |
| Matthew Sticklin | Corporate Officer | Aug 29, 2022 | |
| David S. Kowalczyk | W-2 Managing Employee | Oct 15, 2012 | |
| Toni-Jean L Friedman | Corporate Officer | Nov 1, 2009 | |
| Oak Investment Trust | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 38.89% |
| Stephen J Bisciotti | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 19.94% |
| Oak Investment Trust II | 5% Or Greater Indirect Ownership Interest | Mar 18, 2019 | 39.35% |
| James C Davis | Corporate Director | Sep 2, 1988 | |
| Maxim Healthcare Services Holdings, Inc. | 5% Or Greater Direct Ownership Interest | Mar 18, 2019 | 100% |
| William J Butz | Corporate Director | Apr 21, 2016 |
All facility ownership & control disclosures 26
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services, Inc. | Home health agency | Other | Jan 9, 1996 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 30, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other | Jan 9, 2006 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Sep 2, 1988 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 1, 2007 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Feb 10, 2012 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Dec 4, 2009 |
| Maxim Healthcare Services Inc | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2009 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Apr 28, 2010 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
| Maxim Healthcare Services Inc | Home health agency | Other (100%) | Jun 30, 2011 |
Facilities with the same owner 69
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Phoenix, AZ
- NPI 1063725117
Oak Investment Trust, Oak Investment Trust II
-
- Home Health Agency
- Tucson, AZ
- NPI 1023198892
Maxim Healthcare Services Holdings, Inc., Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1326771015
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Ashburn, VA
- NPI 1871831222
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- San Diego, CA
- NPI 1770566978
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Palm Beach Gardens, FL
- NPI 1114008570
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1902167349
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Houston, TX
- NPI 1144580192
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Novi, MI
- NPI 1750447223
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Brentwood, TN
- NPI 1770694119
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- Dallas, TX
- NPI 1558620633
Oak Investment Trust, Oak Investment Trust II
-
- Skilled Nursing Facility
- New Providence, NJ
- NPI 1790222131
Oak Investment Trust, Oak Investment Trust II
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1902861776",
"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",
"telephone_number": "410-910-1500",
"fax_number": "410-910-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N CENTRAL AVE STE 2500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122505",
"telephone_number": "602-216-0110"
}
],
"practiceLocations": [
{
"address_1": "11000 N Scottsdale Rd",
"address_2": "Suite 215",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852546130",
"country_code": "US",
"telephone_number": "480-970-5644",
"fax_number": "480-970-6002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "STICKLIN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "410-910-1500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "HHA2812",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF AZ",
"identifier": "AZ0702500",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "789894",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.