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MAXIM HEALTHCARE SERVICES, INC,
NPI 1366523532
Home Health in Las Vegas, NV

Active since October 17, 2006
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169(702) 560-2192 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2023, Apr 13, 2018 (2 updates tracked since 2018).

About Maxim Healthcare Services, Inc, NPPES

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

MAXIM HEALTHCARE SERVICES, INC, (NPI 1366523532) is a healthcare organization registered as a home health in Las Vegas, Nevada and active in the NPI registry since October 2006. The organization lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1366523532
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC,
Location Address3930 HOWARD HUGHES PKWY STE 300Las Vegas, NV 89169-0946
Mailing Address7227 Lee Deforest DriveColumbia, MD 21046 · (410) 910-1500 · Fax (410) 910-1600
Phone(702) 560-2192
Organization SubpartNo
Authorized OfficialDavid KowalczykController · (410) 910-1500
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1366523532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in NV · 524HHA-12
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.
3930 HOWARD HUGHES PKWY STE 300, Las Vegas, NV 89169
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Other Identifiers 1

Medicaid3002095NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxim Healthcare Services, Inc, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNevadaEnrollment IDO20060328000210Part A · Home Health AgencyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.

BROOKLYN ROSE TRISHELLE MARIE HOWARD
Home Health Aide
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS, NV 89169
Clark County (702) 560-2192
ANA LAURA GALAN MATOS
Home Health Aide
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS, NV 89169
Clark County (702) 560-2192
TJADEN IRENE GILES RN
Registered Nurse
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS, NV 89169
Clark County (702) 560-2192
MARIYAH L CAMPBELL LPN
Licensed Practical Nurse
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS, NV 89169
Clark County (702) 560-2192
JAYDE ALISE GILHAM LPN
Licensed Practical Nurse
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS, NV 89169
Clark County (702) 560-2192
WARREN COCKRELL
Behavior Technician
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS, NV 89169
Clark County (702) 560-2192
SADIE KAE HARTRICK
Registered Nurse
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS, NV 89169
Clark County (702) 560-2192
KATELYN KALUNA
Behavior Technician
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS, NV 89169
Clark County (702) 789-5901

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 1366523532. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Maxim Healthcare Services, Inc, located?

Maxim Healthcare Services, Inc, is located at 3930 Howard Hughes Pkwy Ste 300, Las Vegas, NV 89169. The listed phone number is (702) 560-2192.

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

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Maxim Healthcare Services, Inc, enrolled in Medicare?

Yes. Maxim Healthcare Services, Inc, is registered in the Medicare PECOS enrollment system.

When is Maxim Healthcare Services, Inc,'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Nevada, Home Health Agency) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Maxim Healthcare Services, Inc, accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Maxim Healthcare Services, Inc, as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxim Healthcare Services, Inc, was last updated on March 2, 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.