Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
11818 ROCK LANDING DR STE 200, NEWPORT NEWS, VA 23606-4230
(797) 595-8822
Mailing address
7227 LEE DEFOREST DR., COLUMBIA, MD 21046
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
EXEMPT
VA
251E00000X
Home Health Agency
Primary
EXEMPT
VA
3747P1801X
Personal Care Attendant
EXEMPT
VA
385H00000X
Respite Care
EXEMPT
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010309085
—
VA
05
—
010316685
—
VA
Enumeration date
10/04/2006
Last updated
09/10/2020
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