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MAXIM HEALTHCARE SERVICES, INC
NPI 1407190614
Community/Behavioral Health in Tacoma, WA

Active since November 15, 2012CLIA 50D0988124 · Waiver
950 BROADWAY STE 301, TACOMA, WA 98402(253) 671-9909 Get Directions Write a Review

NPPES record last updated: June 28, 2023. 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 1407190614) is a healthcare organization registered as a community/behavioral health in Tacoma, Washington and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists David Kowalczyk, Regional Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1407190614
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC
Location Address950 BROADWAY STE 301Tacoma, WA 98402-4454
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236
Phone(253) 671-9909
Organization SubpartNo
Authorized OfficialDavid KowalczykRegional Vp Of Finance · (410) 910-1500
Enumeration DateNovember 15, 2012
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1407190614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedHome HealthTaxonomy 251E00000X
950 BROADWAY STE 301, Tacoma, WA 98402
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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 50D0988124

Maxim Healthcare Services Inc · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D0988124
Laboratory TypeHome Health Agency
Certificate Effective DateJune 20, 2001
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAntonette Mcintosh
Laboratory Phone(253) 671-9909
Laboratory LocationMaxim Healthcare Services Inc950 Broadway Ste 301, Tacoma, WA 98402
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.

KANIA MORRISON
Behavior Technician
950 BROADWAY STE 301
TACOMA, WA 98402
Pierce County (253) 671-9909
ALYSSA NICOLE RECASNER
Behavior Technician
950 BROADWAY STE 301
TACOMA, WA 98402
Pierce County (253) 292-4354
HANNAH GRACE NUSSLER
Behavior Technician
950 BROADWAY STE 301
TACOMA, WA 98402
Pierce County (253) 292-4354
LILLY ANNE DUFF
Behavior Technician
950 BROADWAY STE 301
TACOMA, WA 98402
Pierce County (253) 292-4354
KAYLYNN MICHELLE MCCLELLAND
Behavior Technician
950 BROADWAY STE 301
TACOMA, WA 98402
Pierce County (253) 671-9909
KYLEE SMITH
Behavior Technician
950 BROADWAY STE 301
TACOMA, WA 98402
Pierce County (253) 223-7891
BRAELYNNE NOELLE ANN CHASE
Behavior Technician
950 BROADWAY STE 301
TACOMA, WA 98402
Pierce County (253) 671-9909
BERYL O NYAKIDI
Behavior Technician
950 BROADWAY STE 301
TACOMA, WA 98402
Pierce County (253) 292-4354

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 1407190614. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Maxim Healthcare Services, Inc located?

Maxim Healthcare Services, Inc is located at 950 Broadway Ste 301, Tacoma, WA 98402. The listed phone number is (253) 671-9909.

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 50D0988124) is associated with this NPI, valid through April 4, 2028. 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 28, 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.