05D0971262 CLIA NUMBER - MAXIM HEALTHCARE SERVICES INC

Laboratory Demographics

CLIA Number: 05D0971262

Facility Name: MAXIM HEALTHCARE SERVICES INC

Facility Address:
1 RIDGEGATE, STE 130
TEMECULA, CA
ZIP 92591
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Facility Phone Number: 951 694-0100

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1275018251

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	05D0971262
LAB Type	Home Health Agency
Facility Name	MAXIM HEALTHCARE SERVICES INC
Street	1 RIDGEGATE, STE 130
City	TEMECULA
State	CA
ZIP	92591
Phone	951 694-0100
CertificateType	4
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024