MAXIM HEALTHCARE SERVICES, INC.


Address: 5100 Eastpark Blvd Ste 100, Madison, WI 53718-2149
Phone: 6082321000

MAXIM HEALTHCARE SERVICES, INC. (NPI# 1821051731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821051731
Entity Type Organization
Organization Name MAXIM HEALTHCARE SERVICES, INC.
Practice Address 5100 Eastpark Blvd Ste 100
Madison
WI 53718-2149
Mailing Address 7227 Lee Deforest Drive
Columbia
MD 21046-3405
Practice Telephone 6082321000
Mailing Telephone 4109101500
Mailing Fax Number 4109101600
Enumeration Date 2006-04-11
Last Update Date 2019-04-30
Authorized Official Name DAVID KOWALCZYK (VP OF FINANCE)
Authorized Official Telephone 4109101500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 1039 WI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
WI 41537900 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
5752 Tokay Blvd, Madison, WI 537196000 6082321000 6082320200

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 5100 EASTPARK BLVD STE 100
City MADISON
State WI
Zip Code 53718-2149

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1831583145 Madison Rehabilitation Hospital, LLC Rehabilitation Hospital 5115 N Biltmore Ln, Madison, WI 53718 2015-03-25
1972919959 Hannah E Kussler Physician Assistant The American Center, 4602 Eastpark Blvd, Madison, WI 53718 2014-07-10
1104187079 Kaitlin Hellenbrand Occupational Therapist 5249 East Terrace Drive, Madison, WI 53718 2012-06-06
1003172800 Wisconsin Hyperbaric Oxygen LLC Clinic/Center 4660 S Biltmore Lane, Madison, WI 53718 2012-04-05
1801022850 Justin Robert Bangert Marriage & Family Therapist 5310 Wall St., Ste #500, Madison, WI 53718 2009-06-04
1427292275 Jane Louise Stroede Physical Therapy Assistant 2802 Walton Commons West, Madison, WI 53718 2009-04-23
1003060658 Candace Leigh Pantoga Occupational Therapist 3030 City View Drive, City View Nursing Home, Madison, WI 53718 2008-11-10
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

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1467074252 Bethany Cares Home Health Services Inc Home Health 221 Clifty Dr, Madison, IN 47250-1603 2020-05-14
1952948895 Alina's Elder Care, LLC Home Health 67 Sterling Park, Madison, CT 06443-2203 2019-12-10
1134788896 4 Lakes Health Services, Inc Home Health 437 S Yellowstone Dr Ste 210, Madison, WI 53719-1061 2019-06-06
1396214144 A Divine Miracle Adult Day Center Home Health 331 Gallatin Pike S Ste 1, Madison, TN 37115-4052 2018-11-21
1407214505 Cna On The Go, LLC Home Health 8326 Inverness Dr, Madison, WI 53717-2647 2016-02-03
1356720890 Deanna Gail Porter Home Health 1706 S Thompson Dr, Madison, WI 53716-1982 2015-05-28
1376959668 Stay At Home Health Care Inc Home Health 1130 Douglas St, Madison, IL 62060-1122 2014-07-07
1588097018 Emily Winkelman Home Health 303 North Franklin Street, Madison, WI 53703-1501 2013-08-20
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Competitor

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City MADISON
Zip Code 53718

Improve Information

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Dataset Information

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.

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