# MAXIM HEALTHCARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053543223
- **Authorized official:** DAVID KOWALCZYK (CONTROLLER)
- **Authorized official phone:** (410) 910-1500

## Contact information

- **Practice address:** 130 ALFREDO DR BLDG 2, CLARKSVILLE, TN 37042-2750
- **Practice address phone:** (931) 645-4293
- **Mailing address:** 7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
- **Mailing address phone:** (410) 910-1500
- **Mailing address fax:** (410) 910-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0000000615 | TN | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/20/2009
- **Last updated:** 10/02/2026
