MAXIM HEALTHCARE SERVICES, INC. NPI 1003027012

Respite Care in Fresno, CA

NPI 1003027012 Organization Respite Care

About MAXIM HEALTHCARE SERVICES, INC.

Maxim Healthcare Services, Inc. is a provider established in Fresno, California specializing in respite care. The NPI number of Maxim Healthcare Services, Inc. is 1003027012 and was assigned on May 2007. The practitioner's primary taxonomy code is 385H00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is David Kowalczyk (Vp Of Finance)

NPI

1003027012

Provider NameMAXIM HEALTHCARE SERVICES, INC.
Provider Location Address6051 N FRESNO ST STE 102 FRESNO, CA 93710
Provider Mailing Address7227 LEE DEFOREST DRIVE COLUMBIA, MD 21046
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-24-2007
Last Update Date08-17-2018


Primary Taxonomy

Taxonomy Code385H00000X
ClassificationRespite Care
TypeRespite Care Facility
Taxonomy DescriptionDefinition to come.

Business Address

MAXIM HEALTHCARE SERVICES, INC.
6051 N FRESNO ST STE 102
FRESNO, CA
ZIP 93710
Phone: (559) 227-2250

Get Directions


Mailing Address

MAXIM HEALTHCARE SERVICES, INC.
7227 LEE DEFOREST DRIVE
COLUMBIA, MD
ZIP 21046
Phone: (410) 910-1500
Fax: (410) 910-1600



Secondary Locations

5066 N Fresno St Suite 103
Fresno, CA 93710
(559) 227-2250

Authorized Official

Authorized Official Name DAVID KOWALCZYK
Authorized Official TitleVP OF FINANCE
Authorized Official Phone(410) 910-1500

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972559565MAXIM HEALTHCARE SERVICES, INC.
Organization
Home Health6051 N FRESNO ST STE 102
FRESNO, CA 93710
(559) 224-9078
1881249670 EVELYN FERNANDEZ
Individual
Counselor6051 N FRESNO ST STE 102
FRESNO, CA 93710
(559) 248-8550
1639796527MAXIM HEALTHCARE SERVICES, INC.
Organization
Community/Behavioral Health6051 N FRESNO ST STE 102
FRESNO, CA 93710
(559) 224-9078
1477159184 GABRIELA BOTELLO
Individual
Behavior Technician6051 N FRESNO ST STE 102
FRESNO, CA 93710
(559) 650-7224

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.