Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SIPES (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
333 E RIVER DR, SUITE 110, EAST HARTFORD, CT 06108-4200
(860) 291-9936
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
0004
CT
261QA0600X
Adult Day Care Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
376J00000X
Homemaker
0004
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00422064
PERFORMING PROVIDER
CT
05
—
004220943
—
CT
05
—
0600091
—
MA
Enumeration date
09/05/2006
Last updated
09/01/2009
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