Organization
MAXIM OF NEW YORK, LLC
Active
Other names
Maxim Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SIPES (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
159 WOLF RD, SUITE A, COLONIE, NY 12205-6007
(518) 437-0152
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
1121L005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02319175-004
—
NY
05
—
0232438506
—
NY
05
—
02621396-006
—
NY
05
—
03011112-013
—
NY
Enumeration date
08/31/2006
Last updated
03/25/2013
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