Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1730
Entity
Organization
Contact information
Practice address
1651 RESPONSE RD STE 200, SACRAMENTO, CA 95815-5255
(916) 974-9120
(916) 974-2588
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046-3405
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100000500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70277F/05-K017
—
CA
Enumeration date
04/11/2006
Last updated
12/13/2021
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