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MAXIM HEALTHCARE SERVICES, INC.
NPI 1104185719
Home Health in La Quinta, CA

Active since May 16, 2012CLIA 05D1025103 · Waiver
47250 WASHINGTON ST STE B, LA QUINTA, CA 92253(760) 469-8908 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Jan 4, 2024, Jan 27, 2017 (3 updates tracked since 2017).

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1104185719) is a healthcare organization registered as a home health in La Quinta, California and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists David Kowalczyk, Regional Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1104185719
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address47250 WASHINGTON ST STE BLa Quinta, CA 92253-2105
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236
Phone(760) 469-8908
Organization SubpartNo
Authorized OfficialDavid KowalczykRegional Vp Of Finance · (410) 910-1500
Enumeration DateMay 16, 2012
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1104185719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
47250 WASHINGTON ST STE B, La Quinta, CA 92253
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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 05D1025103

Maxim Healthcare Services Inc · La Quinta, CA
Active · expires Apr 27, 2028
CLIA Number05D1025103
Laboratory TypeHome Health Agency
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorPreston Arndt MD
Laboratory Phone(760) 992-8581
Laboratory LocationMaxim Healthcare Services Inc47250 Washington St Ste B, La Quinta, CA 92253
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MAXIM HEALTHCARE SERVICES, INC.
Community/Behavioral Health
47250 WASHINGTON ST STE B
LA QUINTA, CA 92253
Riverside County (760) 469-3169
MAXIM HEALTHCARE SERVICES, INC.
Home Health
47250 WASHINGTON ST STE B
LA QUINTA, CA 92253
Riverside County (760) 202-0891

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 1104185719. It was assigned to this organization in the NPPES registry on May 16, 2012.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 47250 Washington St Ste B, La Quinta, CA 92253. The listed phone number is (760) 469-8908.

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 05D1025103) is associated with this NPI, valid through April 27, 2028. 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 June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.