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MAXIM HEALTHCARE SERVICES, INC.
NPI 1063520286
Home Health in San Bernardino, CA

Active since August 28, 2006CLIA 05D1015615 · Waiver
560 E HOSPITALITY LN STE 400, SAN BERNARDINO, CA 92408(909) 891-1599 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1063520286) is a healthcare organization registered as a home health in San Bernardino, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 10, 2027, maintains a secondary practice location in San Bernardino, and lists David Kowalczyk, Regional Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1063520286
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address560 E HOSPITALITY LN STE 400San Bernardino, CA 92408
Mailing Address7227 Lee Deforest DriveColumbia, MD 21046 · (410) 910-1500 · Fax (410) 910-1600
Phone(909) 891-1599
Organization SubpartNo
Authorized OfficialDavid KowalczykRegional Vp Of Finance · (410) 910-1500
Enumeration DateAugust 28, 2006
Last NPPES UpdateAugust 8, 2018
✔ NPI 1063520286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 240000503
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.
560 E HOSPITALITY LN STE 400, San Bernardino, CA 92408
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Secondary Practice Location 1

Location 11845 Business Center Dr, Suite 105San Bernardino, CA 92408-3467 · Phone (909) 891-1599 · Fax (909) 891-1588

Other Identifiers 1

MedicaidHHA57299HCA

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 05D1015615

Maxim Healthcare Services Inc · San Bernardino, CA
Active · expires Aug 10, 2027
CLIA Number05D1015615
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorPreston W. Arndt
Laboratory Phone(909) 891-1599
Laboratory LocationMaxim Healthcare Services Inc560 E Hospitality Lane Ste 400, San Bernardino, CA 92408
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.

ANIYAH NICHELLE MOORE
Behavior Technician
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408
San Bernardino County (909) 891-1599
KATELYNN MARIE RODRIGUEZ
Behavior Technician
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408
San Bernardino County (909) 677-4000
NATASHA BHAKTA
Behavior Technician
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408
San Bernardino County (909) 677-4000
MS. AMESHA CORINE SMITH BCBA
Behavior Analyst
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408
San Bernardino County (909) 677-4000
EBONY GOULD
Behavior Technician
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408
San Bernardino County (909) 891-1599
ALEJANDRO BELTRAN JR.
Behavior Technician
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408
San Bernardino County (909) 677-4000
PRECILLA TAPIA
Behavior Technician
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408
San Bernardino County (909) 891-1599
KAREN VANESSA DELGADO
Behavior Technician
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408
San Bernardino County (909) 677-4000

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 1063520286. It was assigned to this organization in the NPPES registry on August 28, 2006.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 560 E Hospitality Ln Ste 400, San Bernardino, CA 92408. The listed phone number is (909) 891-1599.

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 05D1015615) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maxim Healthcare Services, Inc. was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.