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MAXIM HEALTHCARE SERVICES, INC.
NPI 1255072468
Community/Behavioral Health in Vienna, VA

Active since April 05, 2022CLIA 49D0935183 · Waiver
2600 PARK TOWER DR STE 200, VIENNA, VA 22180(703) 533-3131 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Apr 5, 2022 (2 updates tracked since 2022).

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1255072468) is a healthcare organization registered as a community/behavioral health in Vienna, Virginia and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1255072468
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address2600 PARK TOWER DR STE 200Vienna, VA 22180-7342
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236
Phone(703) 533-3131
Organization SubpartNo
Authorized OfficialDavid KowalczykController · (410) 910-1500
Enumeration DateApril 5, 2022
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1255072468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2600 PARK TOWER DR STE 200, Vienna, VA 22180
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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 49D0935183

Maxim Healthcare Services, Inc · Vienna, VA
Active · expires Oct 21, 2027
CLIA Number49D0935183
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorChidi D. Ihezue
Laboratory Phone(703) 533-3131
Laboratory LocationMaxim Healthcare Services, Inc2600 Park Tower, Suite 200, Vienna, VA 22180
CLIA data matches this NPI record on: 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.

MISS MAAME AMA AFRIYIE ANINFENG RBT
Behavior Technician
2600 PARK TOWER DR STE 200
VIENNA, VA 22180
Fairfax County (616) 222-5607
CARLY MAYTAS RBT
Behavior Technician
2600 PARK TOWER DR STE 200
VIENNA, VA 22180
Fairfax County (571) 282-0092
DIEGO PENA
Behavior Technician
2600 PARK TOWER DR STE 200
VIENNA, VA 22180
Fairfax County (571) 282-0092
MIKE DOON
Behavior Technician
2600 PARK TOWER DR STE 200
VIENNA, VA 22180
Fairfax County (571) 282-0092
ZACHARY ALEXANDER ROBINSON-HOLNESS
Behavior Technician
2600 PARK TOWER DR STE 200
VIENNA, VA 22180
Fairfax County (571) 282-0092
BRANDON JAMES MOBLEY
Behavior Technician
2600 PARK TOWER DR STE 200
VIENNA, VA 22180
Fairfax County (571) 282-0092
TAIEBE HAMEDI
Behavior Technician
2600 PARK TOWER DR STE 200
VIENNA, VA 22180
Fairfax County (571) 282-0092
GURMAN KAUR SIDHU
Behavior Technician
2600 PARK TOWER DR STE 200
VIENNA, VA 22180
Fairfax County (571) 282-0092

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 1255072468. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 2600 Park Tower Dr Ste 200, Vienna, VA 22180. The listed phone number is (703) 533-3131.

What is Maxim Healthcare Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Maxim Healthcare Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0935183) is associated with this NPI, valid through October 21, 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 December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.