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Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
100 CONCOURSE BLVD STE 101, GLEN ALLEN, VA 23059-5642
(804) 355-9800
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
EXEMPT
VA
251E00000X
Home Health Agency
Primary
EXEMPT
VA
253Z00000X
In Home Supportive Care Agency
—
NULL
3747P1801X
Personal Care Attendant
EXEMPT
VA
385H00000X
Respite Care
EXEMPT
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8701148
—
VA
05
—
8751064
—
VA
05
—
8771502
—
VA
Enumeration date
09/08/2006
Last updated
10/02/2026
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