# MAXIM HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1912002940
- **Authorized official:** JEREMY SMITH (CONTROLLER)
- **Authorized official phone:** (410) 910-1500

## Contact information

- **Practice address:** 1459 INTERSTATE DR, SUITE 203, COOKEVILLE, TN 38501-4608
- **Practice address phone:** (931) 526-5003
- **Mailing address:** 7227 LEE DEFOREST RD, COLUMBIA, MD 21046-3236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | L 4380863507 (PS) | TN | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/22/2020