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MAXIM HEALTHCARE SERVICES INC.
NPI 1003280405
Community/Behavioral Health in Charleston, WV

Active since November 23, 2015CLIA 51D1048580 · Waiver
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301(681) 313-4759 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, Mar 16, 2021, Nov 23, 2015 (3 updates tracked since 2015).

About Maxim Healthcare Services Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXIM HEALTHCARE SERVICES INC. (NPI 1003280405) is a healthcare organization registered as a community/behavioral health in Charleston, West Virginia and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through December 5, 2027, maintains a secondary practice location in Charleston, and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1003280405
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMAXIM HEALTHCARE SERVICES INC.
Location Address900 VIRGINIA ST E STE 400Charleston, WV 25301-2835
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236
Phone(681) 313-4759
Organization SubpartNo
Authorized OfficialDavid KowalczykController · (410) 910-1500
Enumeration DateNovember 23, 2015
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1003280405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedHome HealthTaxonomy 251E00000X
900 VIRGINIA ST E STE 400, Charleston, WV 25301
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Secondary Practice Location 1

Location 1314 Goff Mountain Rd, Suite 6Charleston, WV 25313-6602 · Phone (304) 776-2047

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D1048580

Maxim Healthcare Services Inc · Charleston, WV
Active · expires Dec 5, 2027
CLIA Number51D1048580
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorPam Loftis
Laboratory Phone(304) 776-2047
Laboratory LocationMaxim Healthcare Services Inc900 Virginia Street East Suite 400, Charleston, WV 25301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINA MAGDALENA THORNTON LPN
Licensed Practical Nurse
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301
Kanawha County (681) 313-4759
CINDY MILLER
Registered Nurse
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301
Kanawha County (681) 313-4759
JEANNIE SPARKS RN
Registered Nurse
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301
Kanawha County (681) 313-4759
DEBORAH HONAKER ROSS
Licensed Practical Nurse
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301
Kanawha County (681) 313-4759
LARA RENE FERRELL
Licensed Practical Nurse
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301
Kanawha County (681) 313-4759
ABINET AREGAHGN
Licensed Practical Nurse
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301
Kanawha County (681) 313-4759
GRETA FREEMAN
Registered Nurse
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301
Kanawha County (681) 313-4759
WHITNEY POMEROY RN
Registered Nurse
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301
Kanawha County (681) 313-4759

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxim Healthcare Services Inc.'s NPI number?

The NPI number for Maxim Healthcare Services Inc. is 1003280405. It was assigned to this organization in the NPPES registry on November 23, 2015.

Where is Maxim Healthcare Services Inc. located?

Maxim Healthcare Services Inc. is located at 900 Virginia St E Ste 400, Charleston, WV 25301. The listed phone number is (681) 313-4759.

What is Maxim Healthcare Services Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Maxim Healthcare Services Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1048580) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maxim Healthcare Services Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Maxim Healthcare Services Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxim Healthcare Services Inc. was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.