NPIMap

Organization Active NPI

Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Timonium, MD
National Provider Identifier
1912094897
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RSA R1009 Issued in MD
Legal business name
MAXIM HEALTHCARE SERVICES, INC.
Practice address
1954 Greenspring Dr Ste 330-335
Timonium, MD 21093-4111
Phone
(410) 494-0260
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RSA R1009 MD Primary

Addresses

Primary practice location

1954 Greenspring Dr Ste 330-335
Timonium, MD 21093-4111

Mailing address

7227 Lee Deforest Dr
Columbia, MD 21046-3236

Other practice location 1

40 York Rd
2nd Floor
Baltimore, MD 21204-5243
Phone (410) 323-0019

Other practice location 2

849 Fairmount Ave Ste 200
Towson, MD 21286
Phone (410) 494-0260

Other identifiers 5

IdentifierTypeStateIssuer
432110300MedicaidMD
5550432-01MedicaidMD
0166-DL5946MedicaidMD
951021MedicaidMD
014823713MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Maxim Healthcare Servise337 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

40 York Rd
Fl 2
Baltimore, MD 21204
Phone (410) 323-0019

1954 Greenspring Dr
Ste 330335
Timonium, MD 21093
Phone (410) 494-0260

1954 Greenspring Dr
Ste 200
Timonium, MD 21093

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1912094897",
    "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": "1954 GREENSPRING DR STE 330-335",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934111",
            "telephone_number": "410-494-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 York Rd",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212045243",
            "country_code": "US",
            "telephone_number": "410-323-0019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "849 Fairmount Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "21286",
            "country_code": "US",
            "telephone_number": "410-494-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "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": "MD",
            "license": "RSA R1009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432110300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5550432-01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166-DL5946",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951021",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014823713",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.