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MAXIM HEALTHCARE SERVICES INC. NPI 1902912512


NPI Information

NPI: 1902912512
Provider Name: MAXIM HEALTHCARE SERVICES, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 10D0901238

Address:
6301 NW 5TH WAY
SUITE 5010
FT LAUDERDALE, FL
ZIP 33309
Phone: (954) 977-9958
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MAXIM HEALTHCARE SERVICES, INC. is a home health in Ft Lauderdale, FL. 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 1902912512. The provider is registered as an organization entity type.

The provider's business location address is:

6301 NW 5TH WAY
SUITE 5010
FT LAUDERDALE, FL
ZIP 33309-131
Phone: (954) 977-9958

The provider's authorized official is Duane Brickhouse .
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 10D0901238 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 1/26/2017.


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
1251E00000XHome Health20674096FLORIDAYes

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
1682444200MEDICAIDFLORIDA
2001135800MEDICAIDFLORIDA
3650242300MEDICAIDFLORIDA
4672823596MEDICAIDFLORIDA
5650242301MEDICAIDFLORIDA
6650242379MEDICAIDFLORIDA

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

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.