Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
233 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3669
(812) 280-0630
(812) 280-0655
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
007982
IN
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335170F
—
IN
05
—
200484160C
—
IN
05
—
7100463710
—
KY
05
—
7100483310
—
KY
01
—
720206
PDN LICENSE
KY
Enumeration date
04/17/2007
Last updated
03/13/2018
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