52D1008890 CLIA NUMBER - MAXIM HEALTHCARE SERVICES INC

Laboratory Demographics

CLIA Number: 52D1008890

Facility Name: MAXIM HEALTHCARE SERVICES INC

Facility Address:
5100 EASTPARK BLVD SUITE 100
MADISON, WI
ZIP 53718
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Facility Phone Number: 608 232-1000

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1821051731

Taxonomy: 251E00000X - Home Health
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.

CLIA Record

Field Name	Field Value
CLIA Number	52D1008890
LAB Type	Home Health Agency
Facility Name	MAXIM HEALTHCARE SERVICES INC
Street	5100 EASTPARK BLVD SUITE 100
City	MADISON
State	WI
ZIP	53718
Phone	608 232-1000
CertificateType	4
CertificateEffectiveDate	1/30/2023
CertificateExpirationDate	1/29/2025
FacilityType	Waiver

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