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MAXIM HEALTHCARE SERVICES, INC.
NPI 1053543223
Home Health in Clarksville, TN

Active since August 20, 2009CLIA 44D2002917 · Waiver
130 ALFREDO DR BLDG 2, CLARKSVILLE, TN 37042(931) 645-4293 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1053543223) is a healthcare organization registered as a home health in Clarksville, Tennessee and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through January 27, 2028, maintains 2 additional practice locations, and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1053543223
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address130 ALFREDO DR BLDG 2Clarksville, TN 37042-2750
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236 · (410) 910-1500 · Fax (410) 910-1600
Phone(931) 645-4293
Organization SubpartNo
Authorized OfficialDavid KowalczykController · (410) 910-1500
Enumeration DateAugust 20, 2009
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1053543223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in TN · 0000000615
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.
Also ListedNursing CareTaxonomy 251J00000X
130 ALFREDO DR BLDG 2, Clarksville, TN 37042
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Secondary Practice Locations 2

Location 193 Beaumont StClarksville, TN 37040-3217 · Phone (931) 645-4293
Location 2425 N Spring St, Suite T-1Clarksville, TN 37040-3137 · Phone (931) 645-4293 · Fax (866) 915-6482

Other Identifiers 1

Medicaid1515485TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 44D2002917

Maxim Healthcare Services Inc · Clarksville, TN
Active · expires Jan 27, 2028
CLIA Number44D2002917
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorAlana D. Wall
Laboratory Phone(931) 645-4293
Laboratory LocationMaxim Healthcare Services Inc93 Beaumont Street, Clarksville, TN 37040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1053543223. It was assigned to this organization in the NPPES registry on August 20, 2009.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 130 Alfredo Dr Bldg 2, Clarksville, TN 37042. The listed phone number is (931) 645-4293.

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

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

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

Yes. A Certificate of Waiver (number 44D2002917) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maxim Healthcare Services, Inc. accept?

Health plans from BlueCross BlueShield of Tennessee 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.