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MAXIM HEALTHCARE SERVICES INC. NPI 1679095434


NPI Information

NPI: 1679095434
Provider Name: MAXIM HEALTHCARE SERVICES INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D0931027

Address:
801 CORPORATE CENTER DR STE 210
POMONA, CA
ZIP 91768
Phone: (626) 962-6453
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MAXIM HEALTHCARE SERVICES INC. is a community behavioral health in Pomona, CA. The provider is 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. MAXIM HEALTHCARE SERVICES INC. NPI is 1679095434. The provider is registered as an organization entity type.

The provider's business location address is:

801 CORPORATE CENTER DR STE 210
POMONA, CA
ZIP 91768-627
Phone: (626) 962-6453

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

The CLIA number assigned to this NPI record is 05D0931027 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/13/2017.


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
1251S00000XCommunity/Behavioral HealthYes

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: 11/14/2023

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