Organization
MAXIM OF NEW YORK, LLC
Active
Other names
Maxim Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SIPES (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
4402 23RD ST, SUITE 103, LONG ISLAND CITY, NY 11101-5000
(718) 361-5490
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1121L008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232438508
—
NY
05
—
02621396-009
—
NY
Enumeration date
08/31/2006
Last updated
10/26/2010
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