Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
7500 GREENWAY CENTER DR STE 1300, GREENBELT, MD 20770-3575
(877) 586-2946
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2402
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166-DL5809
—
MD
05
—
095102100
—
MD
05
—
413687000
—
MD
05
—
5550432-02
—
MD
Enumeration date
08/31/2006
Last updated
12/12/2022
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