NPIMap

Organization Active NPI

Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1952417586
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20684096 Issued in FL
Legal business name
MAXIM HEALTHCARE SERVICES, INC.
Practice address
7775 Baymeadows Way Ste 200
Jacksonville, FL 32256-7531
Phone
(904) 396-2199
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
David Kowalczyk
Title
VP of Finance
Phone
(410) 910-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20684096 FL Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

7775 Baymeadows Way Ste 200
Jacksonville, FL 32256-7531

Mailing address

7227 Lee Deforest Dr
Columbia, MD 21046-3236

Other practice location 1

4811 Beach Blvd
Suite 100
Jacksonville, FL 32207-4819
Phone (904) 396-8666

Other practice location 2

4811 Beach Blvd Ste 400
Jacksonville, FL 32207-4867
Phone (904) 369-2199

Other identifiers 1

IdentifierTypeStateIssuer
101867300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952417586. Details of each certification follow.

Home health agency certification: CCN 10K034

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MAXIM HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 28, 2001
Last certification
Jan 9, 2020
Ownership / control type
Proprietary
Facility address
7775 Baymeadows Way Ste 200
Jacksonville, FL 32256

National Provider Directory

National Provider Directory
Tax ID family
Maxim Health Systems337 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

Locations

4811 Beach Blvd
Ste 100
Jacksonville, FL 32207
Phone (904) 396-8666

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1952417586",
    "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": "7775 BAYMEADOWS WAY STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567531",
            "telephone_number": "904-396-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4811 Beach Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074819",
            "country_code": "US",
            "telephone_number": "904-396-8666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4811 Beach Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074867",
            "country_code": "US",
            "telephone_number": "904-369-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "410-910-1500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20684096",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101867300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.