Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SMITH (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
126 W FRONT ST, BURLINGTON, NC 27215-3727
(336) 228-3266
Mailing address
7227 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1994
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408463
—
NC
05
—
6600939
—
NC
05
—
7100476
—
NC
Enumeration date
06/28/2006
Last updated
08/22/2020
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