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MAXIM HEALTHCARE SERVICES INC. NPI 1760410765


NPI Information

NPI: 1760410765
Provider Name: MAXIM HEALTHCARE SERVICES, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
1399 ASHLEYBROOK LN
SUITE 250
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 760-8884
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MAXIM HEALTHCARE SERVICES, INC. is a home health in Winston Salem, NC. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MAXIM HEALTHCARE SERVICES, INC. NPI is 1760410765. The provider is registered as an organization entity type.

The provider's business location address is:

1399 ASHLEYBROOK LN
SUITE 250
WINSTON SALEM, NC
ZIP 27103-961
Phone: (336) 760-8884

The provider's authorized official is Duane Brickhouse Smith .
The authorized official title is Controller and has the following contact phone number (410) 910-1500.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 6/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthHC1582NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100296MEDICAIDNORTH CAROLINA
23408463MEDICAIDNORTH CAROLINA
36600538MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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