# MAXIM HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1174620538
- **Authorized official:** DAVID KOWALCZYK (VP OF FINANCE)
- **Authorized official phone:** (410) 910-1500

## Contact information

- **Practice address:** 4712 STODDARD RD STE 280, MODESTO, CA 95356-9404
- **Practice address phone:** (209) 222-5490
- **Practice address fax:** (855) 456-7266
- **Mailing address:** 7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046
- **Mailing address phone:** (410) 910-1500
- **Mailing address fax:** (410) 910-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 100000780 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/27/2023