MAXIM HEALTHCARE SERVICES (NPI# 1720388606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720388606 |
Entity Type | Organization |
Organization Name | MAXIM HEALTHCARE SERVICES |
Practice Address |
4301 S Pine St Ste 505 Tacoma WA 98409-7208 |
Practice Telephone | 2532924354 |
Practice Fax Number | 2532924353 |
Enumeration Date | 2010-10-26 |
Last Update Date | 2010-10-26 |
Authorized Official Name | MR. WILLIAM KIM WALDO (GENERAL MANAGER) |
Authorized Official Telephone | 2532924354 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | IHS.FS.00000375 | WA | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972981579 | Maxim Healthcare Services | Clinic/Center | 392 Pearl St Ste 400, Buffalo, NY 14202-2210 | 2015-05-14 |
1841515251 | Maxim Healthcare Services | Residential Treatment Facility, Emotionally Disturbed Children | 5838 Edison Pl Ste 120, Carlsbad, CA 92008-5520 | 2010-03-30 |
1972625101 | Maxim Healthcare Services | Home Health | 7227 Lee Deforest Rd, Columbia, MD 21046-3236 | 2007-04-06 |
1801944475 | Maxim Healthcare Services | Nursing Care | 2605 S Miller St Ste 102, Santa Maria, CA 93455-1774 | 2007-01-08 |
1760420269 | Maxim Healthcare Services | Home Health | 9781 S Meridian Blvd, Suite 105, Englewood, CO 80112-5934 | 2006-06-04 |
1629406301 | Maxim Healthcare Services | Home Health | 1600 Valley River Dr Ste 210, Eugene, OR 97401-2155 | 2013-10-16 |
1891059705 | Maxim Healthcare Services | Community/Behavioral Health | 5740 Ralston St, Ventura, CA 93003-6051 | 2012-06-26 |
1275833154 | Maxim Healthcare Services | Community/Behavioral Health | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2010-10-26 |
1447561758 | Maxim Healthcare Services | Case Management | 150 State St, Suite 140, Rochester, NY 14614-1353 | 2010-07-01 |
1710202486 | Maxim Healthcare Services | Home Health | 1500 W 4th Ave, 501, Spokane, WA 99201-7257 | 2010-04-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | MAXIM HEALTHCARE SERVICES INC. | 7227 Lee Deforest Dr, Columbia, Maryland 21046-3236 |
Iowa Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
New York State Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, Maryland 21046-3236 |
Washington State Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
Oregon Corporations, Companies and Business Names | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046 |
Vermont Business Registrations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Drive, Columbia, MD 21046 |
Colorado Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7301 Parkway Drive, Hanover, MD 21076-1119 |
Massachusetts Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr., Columbia, MD 21046 |
Indiana Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
Street Address |
4301 S PINE ST STE 505 |
City | TACOMA |
State | WA |
Zip Code | 98409-7208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790087203 | Lindsey Wilson | Behavioral Analyst | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2010-12-03 |
1538760541 | Merry Mathison | Behavioral Analyst | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-11-05 |
1871191809 | Abigail Rose Hester | Behavioral Analyst | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-10-12 |
1477151629 | Mishaya Jovon Leiter | Behavioral Analyst | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-10-10 |
1831706514 | Emily Haze Orchowski | Behavior Technician | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-09-28 |
1861009995 | Benjamin Samuel Fallis | Behavior Technician | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-09-23 |
1073128930 | Stevie N Boardman | Behavior Technician | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-09-08 |
1336751460 | Lucas P Johnston | Behavior Technician | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-08-19 |
1154931863 | Thalia Malinali Kirst | Behavioral Analyst | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-08-06 |
1770193476 | Tianna Brooks | Behavioral Analyst | 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 | 2020-08-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
Find all providers in zip 98409 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003446857 | Tran Urgent Care & Wellness Centers LLC | Community/Behavioral Health | 710b S 38th St, Tacoma, WA 98418-6718 | 2020-01-21 |
1851931042 | Taylor Cassandra Budnick | Community/Behavioral Health | 1305 Tacoma Ave S Ste 302, Tacoma, WA 98402-1903 | 2020-01-15 |
1730686445 | Develop Minded Therapies | Community/Behavioral Health | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2018-04-09 |
1013428432 | Seneca Family of Agencies | Community/Behavioral Health | 409 Puyallup Ave, Tacoma, WA 98421-1316 | 2017-10-12 |
1275043663 | Seneca Family of Agencies | Community/Behavioral Health | 2136 M.l.k. Jr Way, Tacoma, WA 98405 | 2017-10-11 |
1629588223 | Seneca Family of Agencies | Community/Behavioral Health | 1301 E 34th St, Tacoma, WA 98404-3906 | 2017-10-09 |
1497114342 | Olympic Psychology Services, Pllc | Community/Behavioral Health | 711 Court A Ste 114, Tacoma, WA 98402-5227 | 2016-02-22 |
1891150504 | Adonai Counseling & Employment Inc. | Community/Behavioral Health | 4104 South M Street, Tacoma, WA 98418-3836 | 2015-12-22 |
1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
1275904245 | Jennifer Croke Psychotherapy | Community/Behavioral Health | 5006 Varco Rd Ne, Tacoma, WA 98422-1806 | 2015-10-15 |
Find all providers in TACOMA |
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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.