# MAXIM HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1124101456
- **Authorized official:** DAVID KOWALCZYK (CONTROLLER)
- **Authorized official phone:** (410) 910-1500

## Contact information

- **Practice address:** 671 S CARTER RD STE 3&4, SMYRNA, DE 19977-7727
- **Practice address phone:** (302) 734-9040
- **Mailing address:** 7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | HHAS-035 | DE | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 103TH0100X | Health Service Psychologist | HHAS-035 | DE | — |
| 163WH0200X | Home Health Registered Nurse | HHAS-035 | DE | — |
| 251E00000X | Home Health Agency | HHAS-035 | DE | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 03/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1124101456 | — | DE |
| 01 | — | HHAS-035 | HOME HEALTH LICENSE | DE |