MAXIM HEALTHCARE SERVICES, INC.
NPI 1003849886
Home Health in Emeryville, CA

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

The NPI number for Maxim Healthcare Services, Inc. is 1003849886. It was assigned to this organization in the NPPES registry on July 8, 2006.

Q: What is Maxim Healthcare Services, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since July 08, 2006CLIA 05D0914364 · Waiver

2000 POWELL ST STE 900, EMERYVILLE, CA 94608(510) 982-3773 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2022, Apr 26, 2022, Feb 25, 2019 (3 updates tracked since 2019).

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About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1003849886) is a healthcare organization registered as a home health in Emeryville, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 25, 2028, maintains 2 additional practice locations, and lists David S. Kowalczyk, Regional Controller, as its authorized official.

NPPES Registry Identity

NPI1003849886

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameMAXIM HEALTHCARE SERVICES, INC.

Location Address2000 POWELL ST STE 900Emeryville, CA 94608-1888

Mailing Address7227 Lee Deforest DriveColumbia, MD 21046-3405 · (410) 910-1500 · Fax (410) 910-1600

Phone(510) 982-3773

Organization SubpartNo

Authorized OfficialDavid S. KowalczykRegional Controller · (410) 910-1730

Enumeration DateJuly 8, 2006

Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1003849886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in CA · 20000462

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.

2000 POWELL ST STE 900, Emeryville, CA 94608

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Secondary Practice Locations 2

Location 11900 Powell St, Suite 450Emeryville, CA 94608-1811 · Phone (510) 597-9111 · Fax (510) 597-9112

Location 26475 Christie Ave Ste 350Emeryville, CA 94608-2260 · Phone (510) 982-3773

Other Identifiers 1

MedicaidHHA57410HCA

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 05D0914364

Maxim Healthcare Services, Inc · Emeryville, CA

Active · expires Apr 25, 2028

CLIA Number05D0914364

Laboratory TypeHome Health Agency

Certificate Effective DateApril 26, 2026

Certificate Expiration DateApril 25, 2028

Laboratory DirectorPreston W. Arndt

Laboratory Phone(510) 982-3773

Laboratory LocationMaxim Healthcare Services, Inc2000 Powell St Ste 900, Emeryville, CA 94608

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Maxim Healthcare Services, Inc (CMS certification number 059684), from CMS Care Compare.

Maxim Healthcare Services, Inc

Home health agency · Emeryville, CA

OwnershipProprietary

CMS Certification Number059684

Medicare-Certified SinceDecember 18, 2015

Phone(510) 982-3773

Services Offered

Skilled nursing care Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner

81.8%

Physician-recommended actions on medication issues completed on time

81.8%

Patients with a functional assessment and care plan at admission and discharge

100%

Patients experiencing one or more falls with major injury

Lower rates are better for this measure.

Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

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.

MRS. SHEILA MEMBRENO

Behavior Technician