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MAXIM HEALTHCARE SERVICES, INC
NPI 1285382143
Community/Behavioral Health in Maitland, FL

Active since March 10, 2022CLIA 10D0901855 · Waiver
601 S LAKE DESTINY RD STE 350, MAITLAND, FL 32751(407) 647-6555 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maxim Healthcare Services, Inc NPPES

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

MAXIM HEALTHCARE SERVICES, INC (NPI 1285382143) is a healthcare organization registered as a community/behavioral health in Maitland, Florida and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1285382143
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC
Location Address601 S LAKE DESTINY RD STE 350Maitland, FL 32751-7222
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236
Phone(407) 647-6555
Organization SubpartNo
Authorized OfficialDavid KowalczykController · (410) 910-1500
Enumeration DateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1285382143 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.
601 S LAKE DESTINY RD STE 350, Maitland, FL 32751
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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 10D0901855

Maxim Healthcare Services · Maitland, FL
Active · expires Jun 6, 2027
CLIA Number10D0901855
Laboratory TypeHome Health Agency
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorMichelle C. Hasty
Laboratory Phone(407) 647-6555
Laboratory LocationMaxim Healthcare Services601 South Lake Destiny Road Suite 350, Maitland, FL 32751
CLIA data matches this NPI record on: Address 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.

AMY TOMASKO
Behavior Technician
601 S LAKE DESTINY RD STE 350
MAITLAND, FL 32751
Orange County (407) 618-0493
MRS. LAUREN ELIZABETH MCCASTLAIN M.S., BCBA
Behavior Analyst
601 S LAKE DESTINY RD STE 350
MAITLAND, FL 32751
Orange County (407) 618-0493
ESHANA THORNTON RBT
Behavior Technician
601 S LAKE DESTINY RD STE 350
MAITLAND, FL 32751
Orange County (443) 527-0040
HANNAH TAYLOR GROSSER
Behavior Technician
601 S LAKE DESTINY RD STE 350
MAITLAND, FL 32751
Orange County (407) 647-6555
RANEESHA DASHAY JOINER CLARK
Behavior Technician
601 S LAKE DESTINY RD STE 350
MAITLAND, FL 32751
Orange County (407) 647-6555
ASHLEY WILLIAMS
Behavior Technician
601 S LAKE DESTINY RD STE 350
MAITLAND, FL 32751
Orange County (407) 618-0493
AISHAH FERNANDEZ
Behavior Technician
601 S LAKE DESTINY RD STE 350
MAITLAND, FL 32751
Orange County (407) 616-0493
TAMMARA KATERIAL THOMAS
Behavior Technician
601 S LAKE DESTINY RD STE 350
MAITLAND, FL 32751
Orange County (407) 641-6994

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 1285382143. It was assigned to this organization in the NPPES registry on March 10, 2022.

Where is Maxim Healthcare Services, Inc located?

Maxim Healthcare Services, Inc is located at 601 S Lake Destiny Rd Ste 350, Maitland, FL 32751. The listed phone number is (407) 647-6555.

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 10D0901855) is associated with this NPI, valid through June 6, 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 March 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.