MAXIM HABILITATION SERVICES, LLC NPI 1003002080

Day Training, Developmentally Disabled Services in Oxford, NC

About MAXIM HABILITATION SERVICES, LLC

Maxim Habilitation Services, Llc is a provider in Oxford, NC. The NPI number assigned to this provider is 1003002080. The practitioner's primary taxonomy code is Day Training, Developmentally Disabled Services (251C00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003002080 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMAXIM HABILITATION SERVICES, LLC
Provider Location Address102 BROAD ST OXFORD, NC 27565 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address7227 LEE DEFOREST DR COLUMBIA, MD 21046 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-24-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-24-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MAXIM HABILITATION SERVICES, LLC
102 BROAD ST
OXFORD, NC
ZIP 27565
Phone: (919) 603-1977
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Mailing Address

MAXIM HABILITATION SERVICES, LLC
7227 LEE DEFOREST DR
COLUMBIA, MD
ZIP 21046
Phone:

Primary Taxonomy

Taxonomy Code251C00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDay Training, Developmentally Disabled Services
TypeAgencies
Taxonomy DescriptionThese 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.

Authorized Official

Authorized Official NameMR. JEREMY SMITH Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCONTROLLER
Authorized Official Phone(410) 910-1500

Map Location


MAXIM HABILITATION SERVICES, LLC address is 102 BROAD ST OXFORD, NC 27565

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780878215INFINITE HORIZON, INC
Organization
Community/Behavioral Health102 BROAD ST
OXFORD, NC 27565
(919) 693-1495