MAXIM HEALTHCARE SERVICES, INC.
NPI 1104920487
Home Health in Glen Allen, VA

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

The NPI number for Maxim Healthcare Services, Inc. is 1104920487. It was assigned to this organization in the NPPES registry on September 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 September 08, 2006CLIA 49D0915505 · Waiver

100 CONCOURSE BLVD STE 101, GLEN ALLEN, VA 23059(804) 355-9800 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1104920487) is a healthcare organization registered as a home health in Glen Allen, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1104920487

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameMAXIM HEALTHCARE SERVICES, INC.

Location Address100 CONCOURSE BLVD STE 101Glen Allen, VA 23059-5642

Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236

Phone(804) 355-9800

Organization SubpartNo

Authorized OfficialDavid KowalczykController · (410) 910-1500

Enumeration DateSeptember 8, 2006

Last NPPES UpdateApril 4, 2023

NPPES CertifiedApril 4, 2023

✔ NPI 1104920487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in VA · EXEMPT

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 ListedRegistered Nurse · Continence CareTaxonomy 163WC2100X · License EXEMPT (VA)

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X · License EXEMPT (VA)

Also ListedRespite CareTaxonomy 385H00000X · License EXEMPT (VA)

100 CONCOURSE BLVD STE 101, Glen Allen, VA 23059

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Other Identifiers 3

Medicaid8751064VA

Medicaid8771502VA

Medicaid8701148VA

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 49D0915505

Maxim Healthcare Services, Inc · Glen Allen, VA

Active · expires Jun 27, 2028

CLIA Number49D0915505

Laboratory TypeHome Health Agency

Certificate Effective DateJune 28, 2026

Certificate Expiration DateJune 27, 2028

Laboratory DirectorMelissa F. Spruell

Laboratory Phone(804) 355-9800

Laboratory LocationMaxim Healthcare Services, Inc100 Concourse Blvd, Suite 101, Glen Allen, VA 23059

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 1104920487. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 100 Concourse Blvd Ste 101, Glen Allen, VA 23059. The listed phone number is (804) 355-9800.

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 49D0915505) is associated with this NPI, valid through June 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 April 4, 2023. 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.