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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
MR. DAVID KOWALCZYK (REGIONAL VP)
(410) 910-1500
Entity
Organization
Contact information
Practice address
406 W MAIN ST FL 2, ABINGDON, VA 24210-2608
(276) 619-5106
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
NULL
163WC2100X
Continence Care Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629233341
—
VA
Enumeration date
07/22/2008
Last updated
10/02/2026
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