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MAXIM HEALTHCARE SERVICES, INC.
NPI 1376630954
Home Health in Virginia Beach, VA

Active since October 06, 2006CLIA 49D0920854 · Waiver
4417 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462(757) 490-3009 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 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 1376630954) is a healthcare organization registered as a home health in Virginia Beach, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists David Kowalczyk, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1376630954
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address4417 CORPORATION LN STE 300Virginia Beach, VA 23462-3162
Mailing Address7227 Lee Deforest Dr.Columbia, MD 21046
Phone(757) 490-3009
Organization SubpartNo
Authorized OfficialDavid KowalczykExecutive Director Of Finance · (410) 910-1730
Enumeration DateOctober 6, 2006
Last NPPES UpdateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1376630954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
Also ListedRegistered Nurse · Continence CareTaxonomy 163WC2100X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedRespite CareTaxonomy 385H00000X
4417 CORPORATION LN STE 300, Virginia Beach, VA 23462
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Other Identifiers 4

Medicaid8700460VA
Medicaid8771316VA
Medicaid8741832VA
Medicaid8750718VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 49D0920854

Maxim Healthcare Services, Inc · Virginia Beach, VA
Active · expires Oct 9, 2026
CLIA Number49D0920854
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorChristina Danaher
Laboratory Phone(757) 490-3009
Laboratory LocationMaxim Healthcare Services, Inc4417 Corporation Lane, Suite 300, Virginia Beach, VA 23462
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.

GABRIELLA THRIFT
Behavior Technician
4417 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 785-3338
ARIANA NEIRA PEREZ
Behavior Technician
4417 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 785-3338
OLIVIA L MOYER
Behavior Technician
4417 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 785-3338
ALEXIS IRENE ALVES
Behavior Technician
4417 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 785-3338
LILLIAN AMY MCKAY
Behavior Technician
4417 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 785-3338
DEAN ASHER COOPER
Behavior Technician
4417 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 785-3338
QUAYSHAUN MOORE
Behavior Technician
4417 CORPORATION LN STE 300
VA BEACH, VA 23462
Virginia Beach City (757) 785-3338
TAMARA KNOX
Behavior Technician
4417 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 785-3338

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 1376630954. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 4417 Corporation Ln Ste 300, Virginia Beach, VA 23462. The listed phone number is (757) 490-3009.

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 49D0920854) is associated with this NPI, valid through October 9, 2026. 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 June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.