MAXIM HEALTHCARE SERVICES, INC. (NPI# 1790996635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790996635 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC. |
| Practice Address |
1515 W 190th St Suite 156 Gardena CA 90248-4319 |
| Mailing Address |
7227 Lee Deforest Drive Columbia MD 21046 |
| Practice Telephone | 3107198919 |
| Practice Fax Number | 3107198924 |
| Mailing Telephone | 4109101500 |
| Mailing Fax Number | 4109101600 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID KOWALCZYK (REGIONAL CONTOLLER) |
| Authorized Official Telephone | 4109101500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| 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 |
1515 W 190TH ST SUITE 156 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710901657 | Thomas Anthony Ontiveros | Chiropractor | 1515 W 190th St, Ste 510, Gardena, CA 90248-4933 | 2006-07-26 |
| 1649705336 | Maxim Healthcare Services, Inc. | Home Health | 1515 W 190th St, Suite 300, Gardena, CA 90248-4319 | 2017-05-01 |
| 1124449269 | Sherry Hiller-vasquez | Marriage & Family Therapist | 1515 W 190th St, Gardena, CA 90248 | 2013-12-16 |
| 1588855852 | Maxim Healthcare Services, Inc. | Home Health | 1515 W 190th St, Suite 156, Gardena, CA 90248-4319 | 2007-08-05 |
| 1750582904 | Maxim Healthcare Services, Inc. | Respite Care | 1515 W 190th St, Suite 156, Gardena, CA 90248-4319 | 2007-05-29 |
| 1891876702 | Integrated Specialty Medical Associates Ipa, Inc | Specialist | 1515 W 190th St, Suite 410, Gardena, CA 90248-4319 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831588839 | Qismah, Inc | Respite Care | 879 W 190th St, 400, Gardena, CA 90248-4220 | 2015-01-13 |
| 1750582904 | Maxim Healthcare Services, Inc. | Respite Care | 1515 W 190th St, Suite 156, Gardena, CA 90248-4319 | 2007-05-29 |
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|---|---|---|---|---|
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| 1578114674 | Home Personal Aide Referral Registry LLC | Respite Care | 12189 7th St Ste 108, Yucaipa, CA 92399-2233 | 2019-09-20 |
| 1194371674 | All.walks.thru.life LLC | Respite Care | 1737 E G St # Sr39, Ontario, CA 91764-4474 | 2019-08-12 |
| 1497313175 | Christian Care Concept, LLC | Respite Care | 575 S Jefferson St, Dixon, CA 95620-3827 | 2019-05-29 |
| 1316503451 | American Focus Care California | Respite Care | 1338 Center Court Dr Ste 203, Covina, CA 91724-3681 | 2019-05-14 |
| 1174187397 | Tanya Denise King | Respite Care | 1081 E Grand Ave, Pomona, CA 91766-3726 | 2019-04-23 |
| 1225590342 | Care From Heart | Respite Care | 4 Union Sq Ste A, Union City, CA 94587-3523 | 2019-04-05 |
| 1538625975 | Purposeful Residential Care, LLC | Respite Care | 1308 Erie St, Bakersfield, CA 93307-3974 | 2019-02-11 |
| 1093282931 | Kmk Care Enterprises, Inc. | Respite Care | 6832 Salvaterra Cir, Elk Grove, CA 95757-3486 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
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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.