MAXIM HEALTHCARE SERVICES, INC. - NPI 1285330159 - Community/Behavioral Health in Charlotte, NC

Q: What is the provider's specialty?

The provider's specialty is Community/Behavioral Health with taxonomy code 251S00000X.

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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 1285330159) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1285330159

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMAXIM HEALTHCARE SERVICES, INC.

Location Address1300 BAXTER ST STE 450Charlotte, NC 28204-3026

Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236

Phone(704) 366-1075

Organization SubpartNo

Authorized OfficialDavid KowalczykController · (410) 910-1500

Enumeration DateFebruary 2, 2023

NPPES CertifiedFebruary 2, 2023

✔ NPI 1285330159 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.

1300 BAXTER ST STE 450, Charlotte, NC 28204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 34D0935019

Maxim Healthcare Services, Inc · Charlotte, NC

Active · expires Dec 1, 2027

CLIA Number34D0935019

Laboratory TypeHome Health Agency

Certificate Effective DateDecember 2, 2025

Certificate Expiration DateDecember 1, 2027

Laboratory DirectorJessica Bird

Laboratory Phone(704) 339-0006

Laboratory LocationMaxim Healthcare Services, Inc1300 Baxter Street, Suite 450, Charlotte, NC 28204

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 15

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

ASHLEY BINKNEY

Behavior Technician