MAXIM HABILITATION SERVICES, LLC (NPI# 1710185210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710185210 |
| Entity Type | Organization |
| Organization Name | MAXIM HABILITATION SERVICES, LLC |
| Practice Address |
2915 Raeford Rd Ste 204 Fayetteville NC 28303-5491 |
| Mailing Address |
7227 Lee Deforest Rd Columbia MD 21046-3236 |
| Practice Telephone | 9104852255 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEREMY SMIHT (CONTROLLER) |
| Authorized Official Telephone | 4109101500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417144304 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 2634 Chapel Hill Blvd, Suite 210, Durham, NC 27707 | 2007-09-25 |
| 1376739359 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 305 E Macon St Ste D, Warrenton, NC 27589-2001 | 2007-09-24 |
| 1669668646 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 2507 Neuse Blvd Ste F, New Bern, NC 28562-3361 | 2007-09-24 |
| 1629264601 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 943 W Andrews Ave Ste D, Henderson, NC 27536-2587 | 2007-09-24 |
| 1225224348 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 1700 W Innes St, Unit 22, Salisbury, NC 28144-2552 | 2007-09-21 |
| 1851587976 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 2405 N Herritage St, Suite F, Kinston, NC 28501-1637 | 2007-09-21 |
| 1205022324 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 216 N Bickett Blvd # D, Louisburg, NC 27549-2473 | 2007-09-21 |
| 1437345550 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 592 E Us Highway 19 E Byp, Burnsville, NC 28714-7202 | 2007-09-21 |
| 1396943882 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 205 E Meadow Rd, Eden, NC 27288-3453 | 2007-07-05 |
| 1245438746 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 4411 W Market St, Suite 304, Greensboro, NC 27407-1370 | 2007-07-05 |
| Street Address |
2915 RAEFORD RD STE 204 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619335908 | A Touch of Grace, Inc. | Day Training, Developmentally Disabled Services | 544 Rock Canyon Dr, Fayetteville, NC 28303-3275 | 2016-02-02 |
| 1659745438 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 221 Pierron Dr, Fayetteville, NC 28303-2331 | 2015-11-17 |
| 1386026508 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 2526 Vestal Ave, Fayetteville, NC 28301-2442 | 2015-06-24 |
| 1700270998 | Kaleo Supports, Inc. | Day Training, Developmentally Disabled Services | 7618 Firethorn Dr, Fayetteville, NC 28311-9215 | 2015-03-25 |
| 1295126480 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 227 Pierron Dr, Fayetteville, NC 28303-2331 | 2015-02-10 |
| 1467840520 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 6698 Vaughn Rd, Fayetteville, NC 28304-6009 | 2014-12-24 |
| 1114325834 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 6512 Kemper Ct, Fayetteville, NC 28303-2326 | 2014-12-11 |
| 1013312446 | The Janice Mae Hawkins Foundation, Inc. | Day Training, Developmentally Disabled Services | 3359 Gables Dr, Fayetteville, NC 28301-7648 | 2014-10-28 |
| 1366845901 | Kaleo Supports, Inc. | Day Training, Developmentally Disabled Services | 6419 Rutherglen Dr, Fayetteville, NC 28304-3928 | 2014-09-26 |
| 1598183105 | New Beginnings of North Carolina, LLC | Day Training, Developmentally Disabled Services | 3717 Florida Drive Ext, Fayetteville, NC 28311-2713 | 2014-04-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on MAXIM HABILITATION SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.