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MAXIM HEALTHCARE SERVICES INC. NPI 1669437919


NPI Information

NPI: 1669437919
Provider Name: MAXIM HEALTHCARE SERVICES, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 36D0970977

Address:
4100 HOLIDAY AVE. N.W.
SUITE 100
CANTON, OH
ZIP 44718
Phone: (330) 493-6001
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MAXIM HEALTHCARE SERVICES, INC. is a home health in Canton, OH. 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 1669437919. The provider is registered as an organization entity type.

The provider's business location address is:

4100 HOLIDAY AVE. N.W.
SUITE 100
CANTON, OH
ZIP 44718
Phone: (330) 493-6001

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

The CLIA number assigned to this NPI record is 36D0970977 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 3/17/2018.


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 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12158721MEDICAIDOHIO
21505500MEDICAIDOHIO
3100245MEDICAIDOHIO

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

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.