Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (EXECUTIVE VP)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1300 BAXTER ST STE 450, CHARLOTTE, NC 28204-3053
(704) 366-1075
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
HC1152
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
—
6600276
—
NC
05
—
7100133
—
NC
05
—
EXO656
—
SC
01
—
HC4783
HOME CARE LICENSE
NC
Enumeration date
07/02/2006
Last updated
10/09/2024
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