Active NPI
Maxim
- Developmentally Disabled Services Day Training Agency
- Maysville, WV
National Provider Identifier
1912821083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- MAXIM
- Practice address
- 23684 Haslacker Road
Maysville, WV 26833 - Phone
- (304) 257-8107
- NPI assigned
- Aug 10, 2026
- Last updated
- Aug 10, 2026
- 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
- Rebecca Roy, LPN
- Title
- KPN
- Phone
- (304) 257-8107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary |
Addresses
Primary practice location
23684 Haslacker Road
Maysville, WV 26833
Mailing address
23684 Haslacker Road
Maysville, WV 26833
Phone (304) 257-8107
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1912821083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23684 HASLACKER ROAD",
"city": "MAYSVILLE",
"state": "WV",
"postal_code": "26833",
"telephone_number": "304-257-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23684 HASLACKER ROAD",
"city": "MAYSVILLE",
"state": "WV",
"postal_code": "26833",
"telephone_number": "304-257-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIM",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "ROY",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "KPN",
"authorized_official_telephone_number": "304-257-8107",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maysville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.