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
1954 GREENSPRING DR STE 330-335, TIMONIUM, MD 21093-4111
(410) 494-0260
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RSA R1009
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014823713
—
NJ
05
—
0166-DL5946
—
MD
05
—
432110300
—
MD
05
—
5550432-01
—
MD
05
—
951021
—
MD
Enumeration date
10/10/2006
Last updated
06/22/2022
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