Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (EXECUTIVE VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
4151 SYCAMORE DAIRY RD, SUITE F, FAYETTEVILLE, NC 28303-3460
(910) 485-2255
(866) 326-5048
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1995
NC
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408463
—
NC
05
—
6600750
—
NC
05
—
7100403
—
NC
Enumeration date
07/04/2006
Last updated
10/09/2024
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