Maxim Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1029 Issued in WI

Legal business name

MAXIM HEALTHCARE SERVICES, INC.

Practice address

933 N Mayfair Rd
Suite 201
Wauwatosa, WI 53226-3432

Phone

(414) 475-9330

Fax

(414) 475-9350

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen P Walsh

Title

Regional Controller

Phone

(410) 910-1581

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1912960832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 LEE DEFOREST DRIVE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463405",
            "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": "933 N MAYFAIR RD",
            "address_2": "SUITE 201",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263432",
            "telephone_number": "414-475-9330",
            "fax_number": "414-475-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REGIONAL CONTROLLER",
        "authorized_official_telephone_number": "410-910-1581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153-7700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza E Mathson, APNP
• Ryan J Mattek, PH.D.
• Abby Matthews, LCSW
• Debra Lee Matzen, MSOM, L.AC.
• Mary Kathryn Maxey, R.D.
• Jennifer L Maxwell, LCSW
• Korrin May-Bretl, PTA
• Michelle J May, D.M.D.
• Katelyn Maydaniuk, DPT
• Mayfaif Family Dentistry

• Home Health Agency in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.