MAXIM HEALTHCARE SERVICES, INC. (NPI# 1730290883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730290883 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC. |
| Practice Address |
1100 New Jersey Ave Se Ste 845 Washington DC 20003-3302 |
| Mailing Address |
7227 Lee Deforest Dr Columbia MD 21046-3236 |
| Practice Telephone | 2025456980 |
| Mailing Telephone | 4109101500 |
| Mailing Fax Number | 4109101600 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | CHRIS SIPES (REGIONAL VP OF FINANCE) |
| Authorized Official Telephone | 4109101500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | HCA-0008 | DC | Agencies |
| Y | 251E00000X | Home Health | HCA0083 | DC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100729832-0061 | 05 | |
| DC | 041748500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6856 Eastern Ave Nw, Suite 220, Washington, DC 200122165 | 2025456980 | 8778396747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386200483 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 34250 Gateway Dr Ste 100, Palm Desert, CA 92211-0856 | 2019-05-14 |
| 1275018251 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 1 Ridgegate Dr Ste 130, Temecula, CA 92590-5505 | 2018-09-26 |
| 1386093375 | Maxim Healthcare Services, Inc. | Home Health | 9400 Gateway Dr, Suite A, Reno, NV 89521-4186 | 2016-06-09 |
| 1053750026 | Maxim Healthcare Services, Inc. | Home Health | 1311 W 33rd St, Lorain, OH 44053-2703 | 2013-06-22 |
| 1164709689 | Maxim Healthcare Services, Inc. | Home Health | 2856 E Buick Cadillac Blvd, Suite 4, Bloomington, IN 47401-5442 | 2011-11-11 |
| 1356635346 | Maxim Healthcare Services, Inc. | Home Health | 9501 State Route 250, Suite 5, Milan, OH 44846-9377 | 2011-06-07 |
| 1033401351 | Maxim Healthcare Services, Inc. | Home Health | 83 E Water St, Chillicothe, OH 45601-2535 | 2011-05-04 |
| 1053543223 | Maxim Healthcare Services, Inc. | Nursing Care | 93 Beaumont St, Clarksville, TN 37040-3217 | 2009-08-20 |
| 1053542019 | Maxim Healthcare Services, Inc. | Home Health | 1248 O St, Suite 308, Lincoln, NE 68508-1493 | 2009-08-07 |
| 1679702898 | Maxim Healthcare Services, Inc. | Home Health | 2314 W 8th St, Erie, PA 16505-4426 | 2009-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
1100 NEW JERSEY AVE SE STE 845 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20003-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285908 | Sita Kanneh | Licensed Practical Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-11-04 |
| 1124629340 | Yariatou Camara | Registered Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-11-04 |
| 1497356695 | Christina Young | Licensed Practical Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-11-04 |
| 1083213656 | Mariama Njai | Licensed Practical Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-10-23 |
| 1942807474 | Deborah Chinwendu Chijioke | Registered Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-10-07 |
| 1669079190 | Christie Nkemdilim Eneanya | Registered Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-10-07 |
| 1164038220 | Brenda Renee Lee | Home Health Aide | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-09-23 |
| 1114533379 | Jeneba Fatmata Jalloh | Licensed Practical Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-09-22 |
| 1174139901 | Raliat Biola Abdulai | Licensed Practical Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-09-17 |
| 1720693716 | Antoinette Kargobo | Licensed Practical Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| 1548872617 | Marie Lubin | Licensed Practical Nurse | 100 New Jersery Ave Se, Suite 845, Washington, DC 20003 | 2020-08-20 |
| 1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
| 1467946566 | Fanta Boakai Sheriff | Home Health Aide | 1202 12th Street Se, Washington, DC 20003 | 2018-06-21 |
| 1881117513 | Rose Physcial Therapy Group | Physical Therapist | 1015 Half Street #102, Washington, DC 20003 | 2017-07-25 |
| 1821510280 | Tiara Doniece Jackson | Technician | 601 L St Se, Apt 1001, Washington, DC 20003 | 2017-07-07 |
| 1083134985 | Sophia Olivia Hooper | Home Health Aide | 1612 A St Se, Washington, DC 20003 | 2017-06-21 |
| Find all providers in zip 20003 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978013 | Virgin Health Care Services LLC | Home Health | 7317 Georgia Ave Nw, Washington, DC 20012-1719 | 2020-10-07 |
| 1609480615 | Donovan Wayne Johnson | Home Health | 1151 4th St Sw Apt 220, Washington, DC 20024-2348 | 2020-09-07 |
| 1205448982 | Monica Thompson | Home Health | 1475 Columbia Rd Nw, Washington, DC 20009-4743 | 2020-08-23 |
| 1528677747 | Fresh Fresh Health Care Agency LLC | Home Health | 5407 1st St Nw Apt 2, Washington, DC 20011-5243 | 2020-07-23 |
| 1144854522 | Essence Jones | Home Health | 1162 1st St Nw, Washington, DC 20001-1362 | 2020-02-25 |
| 1356975742 | Karen Shirelle Kouyate | Home Health | 6120 Georgia Ave Nw Apt 205, Washington, DC 20011-5169 | 2020-02-25 |
| 1538790514 | Tesfaadam Mulat Admassu | Home Health | 1405 Somerset Pl Nw Apt 203, Washington, DC 20011-1089 | 2020-01-29 |
| 1588209993 | Three Angels Home Health.llc | Home Health | 143 Kennedy St Nw Ste 15, Washington, DC 20011-5268 | 2019-11-08 |
| 1548802465 | Dominique Harden | Home Health | 1849 Good Hope Rd Se Apt 202, Washington, DC 20020-4681 | 2019-10-11 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20003 |
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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.