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MAXIM HEALTHCARE SERVICES, INC.
NPI 1174556195
Home Health in Bala Cynwyd, PA

Active since July 10, 2006CLIA 39D0920873 · Waiver
1 BELMONT AVE STE 800, BALA CYNWYD, PA 19004(610) 617-0366 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2022, Nov 16, 2016 (2 updates tracked since 2016).

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1174556195) is a healthcare organization registered as a home health in Bala Cynwyd, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 27, 2027, maintains a secondary practice location in Bala Cynwyd, and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1174556195
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address1 BELMONT AVE STE 800Bala Cynwyd, PA 19004-1611
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236 · (410) 910-1500 · Fax (410) 910-1600
Phone(610) 617-0366
Organization SubpartNo
Authorized OfficialDavid KowalczykController · (410) 910-1500
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1174556195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
1 BELMONT AVE STE 800, Bala Cynwyd, PA 19004
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Secondary Practice Location 1

Location 1301 E City Line Ave, Suite 300Bala Cynwyd, PA 19004-1708 · Phone (610) 617-8766

Other Identifiers 3

Medicaid1007298320001PA
Medicaid1007298320055PA
Medicaid1007298320017PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 39D0920873

Maxim Healthcare Services, Inc · Bala Cynwyd, PA
Active · expires Oct 27, 2027
CLIA Number39D0920873
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorDr. James D. Miller
Laboratory Phone(610) 617-8766
Laboratory LocationMaxim Healthcare Services, Inc1 Belmont Ave, Suite 800, Bala Cynwyd, PA 19004
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 1174556195. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 1 Belmont Ave Ste 800, Bala Cynwyd, PA 19004. The listed phone number is (610) 617-0366.

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 39D0920873) is associated with this NPI, valid through October 27, 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 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.