Organization Active NPI

Maxim

  • Developmentally Disabled Services Day Training Agency
  • Maysville, WV
National Provider Identifier
1912821083
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.