MAXIM HABILITATION SERVICES, LLC NPI 1003002080

Day Training, Developmentally Disabled Services in Oxford, NC

Organization Day Training, Developmentally Disabled S...

About MAXIM HABILITATION SERVICES, LLC

Maxim Habilitation Services, Llc is a provider established in Oxford, North Carolina specializing in day training, developmentally disabled services. The NPI number of Maxim Habilitation Services, Llc is 1003002080 and was assigned on September 2007. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Jeremy Smith (Controller)

NPI

1003002080

Provider NameMAXIM HABILITATION SERVICES, LLC
Provider Location Address102 BROAD ST OXFORD, NC 27565
Provider Mailing Address7227 LEE DEFOREST DR COLUMBIA, MD 21046
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-24-2007
Last Update Date09-24-2007

Primary Taxonomy

Taxonomy Code251C00000X
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.

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:

Authorized Official

Authorized Official NameMR. JEREMY SMITH
Authorized Official TitleCONTROLLER
Authorized Official Phone(410) 910-1500

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013565290A PRIMARY CHOICE, INC.
Organization
In Home Supportive Care102 BROAD ST
OXFORD, NC 27565
(919) 339-4385
1780878215INFINITE HORIZON, INC
Organization
Community/Behavioral Health102 BROAD ST
OXFORD, NC 27565
(919) 693-1495

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.