# MAXCARE, INC.

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

## Provider details

- **NPI number:** 1063578789
- **Authorized official:** SARA BUERGI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (505) 271-2433

## Contact information

- **Practice address:** 1114 PENNSYLVANIA ST NE, ALBUQUERQUE, NM 87110-7406
- **Practice address phone:** (505) 271-2433
- **Practice address fax:** (505) 237-0715
- **Mailing address:** 1114 PENNSYLVANIA ST NE, ALBUQUERQUE, NM 87110-7406
- **Mailing address phone:** (505) 271-2433
- **Mailing address fax:** (505) 237-0715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | PT0016250 | NM | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000D2513 | — | NM |