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MAXIM HEALTHCARE SERVICES, INC.
NPI 1174620538
Home Health in Modesto, CA

Active since September 20, 2006CLIA 05D1031582 · Waiver
4712 STODDARD RD STE 280, MODESTO, CA 95356(209) 222-5490(855) 456-7266 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2023, May 10, 2017 (2 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 1174620538) is a healthcare organization registered as a home health in Modesto, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists David Kowalczyk, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1174620538
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address4712 STODDARD RD STE 280Modesto, CA 95356-9404
Mailing Address7227 Lee Deforest DriveColumbia, MD 21046 · (410) 910-1500 · Fax (410) 910-1600
Phone(209) 222-5490
Fax(855) 456-7266
Organization SubpartNo
Authorized OfficialDavid KowalczykVp Of Finance · (410) 910-1500
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1174620538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 100000780
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.
4712 STODDARD RD STE 280, Modesto, CA 95356
Open in Google Maps ↗

Other Identifiers 1

MedicaidHHA70313FCA

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 05D1031582

Maxim Healthcare Services Inc · Modesto, CA
Active · expires Oct 3, 2026
CLIA Number05D1031582
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorPreston Arndt
Laboratory Phone(209) 222-5490
Laboratory LocationMaxim Healthcare Services Inc4712 Stoddard Rd, Suite 280, Modesto, CA 95351
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Maxim Healthcare Services, Inc (CMS certification number 553168), from CMS Care Compare.

Maxim Healthcare Services, Inc

Home health agency · Modesto, CA
OwnershipProprietary
CMS Certification Number553168
Medicare-Certified SinceDecember 22, 2015
Phone(209) 222-5490
Services Offered
Skilled nursing care Home health aide services

Other Providers at the Same Location NPPES

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

MAXIM HEALTHCARE SERVICES, INC.
Home Health
4712 STODDARD RD STE 280
MODESTO, CA 95356
Stanislaus County (209) 222-5490

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 1174620538. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 4712 Stoddard Rd Ste 280, Modesto, CA 95356. The listed phone number is (209) 222-5490.

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 05D1031582) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Maxim Healthcare Services, Inc. a Medicare-certified home health agency?

Yes. Maxim Healthcare Services, Inc is a Medicare-certified home health agency, certified since December 22, 2015.

When was this NPI record last updated?

The NPPES record for Maxim Healthcare Services, Inc. was last updated on July 27, 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.