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MAXIM HEALTHCARE SERVICES INC. NPI 1174556195


NPI Information

NPI: 1174556195
Provider Name: MAXIM HEALTHCARE SERVICES, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 39D0920873

Address:
1 BELMONT AVE STE 800
BALA CYNWYD, PA
ZIP 19004
Phone: (610) 617-0366
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MAXIM HEALTHCARE SERVICES, INC. is a home health in Bala Cynwyd, PA. 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 1174556195. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 BELMONT AVE STE 800
BALA CYNWYD, PA
ZIP 19004-611
Phone: (610) 617-0366

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

The CLIA number assigned to this NPI record is 39D0920873 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/17/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2164W00000XLicensed Practical NurseNo
3251E00000XHome HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007298320001MEDICAIDPENNSYLVANIA
21007298320055MEDICAIDPENNSYLVANIA
31007298320017MEDICAIDPENNSYLVANIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.