Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
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
973 FEATHERSTONE RD, SUITE 210, ROCKFORD, IL 61107-5912
(815) 484-0000
(815) 484-0001
Mailing address
973 FEATHERSTONE RD STE 210, ROCKFORD, IL 61107-5911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1010450
IL
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010450
HOME HEALTH
—
Enumeration date
09/07/2006
Last updated
07/21/2026
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