# MAXIM HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1104920487
- **Authorized official:** DAVID KOWALCZYK (CONTROLLER)
- **Authorized official phone:** (410) 910-1500

## Contact information

- **Practice address:** 100 CONCOURSE BLVD STE 101, GLEN ALLEN, VA 23059-5642
- **Practice address phone:** (804) 355-9800
- **Mailing address:** 7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC2100X | Continence Care Registered Nurse | EXEMPT | VA | — |
| 251E00000X | Home Health Agency | EXEMPT | VA | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | EXEMPT | VA | — |
| 385H00000X | Respite Care | EXEMPT | VA | — |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 10/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8701148 | — | VA |
| 05 | — | 8751064 | — | VA |
| 05 | — | 8771502 | — | VA |