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MAXIM HEALTHCARE SERVICES INC. NPI 1417050543


NPI Information

NPI: 1417050543
Provider Name: MAXIM HEALTHCARE SERVICES, INC.
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
9420 BUNSEN PKWY
SUITE 110
LOUISVILLE, KY
ZIP 40220
Phone: (502) 426-4454
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MAXIM HEALTHCARE SERVICES, INC. is a nursing care in Louisville, KY. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. MAXIM HEALTHCARE SERVICES, INC. NPI is 1417050543. The provider is registered as an organization entity type.

The provider's business location address is:

9420 BUNSEN PKWY
SUITE 110
LOUISVILLE, KY
ZIP 40220-700
Phone: (502) 426-4454
Fax: (877) 799-3224

The provider's authorized official is Rachel Fuller .
The authorized official title is Regional Vp Of Finance and has the following contact phone number (410) 910-1500.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 10/6/2014.


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 Health720206KENTUCKYNo
2253Z00000XIn Home Supportive CareNo
3252Y00000XEarly Intervention Provider AgencyNo
4251J00000XNursing CareYes

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
17100069980MEDICAIDKENTUCKY
27100190910MEDICAIDKENTUCKY

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: 4/28/2024

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