MAXIM HEALTHCARE SERVICES, INC.
NPI 1417910126
Home Health in San Diego, CA

Q: What is Maxim Healthcare Services, Inc.'s NPI number?

The NPI number for Maxim Healthcare Services, Inc. is 1417910126. It was assigned to this organization in the NPPES registry on April 11, 2006.

Q: What is Maxim Healthcare Services, Inc.'s specialty?

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

Active since April 11, 2006

3111 CAMINO DEL RIO N STE 1200, SAN DIEGO, CA 92108(619) 299-9350 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2021, Jan 15, 2019 (2 updates tracked since 2019).

On this page

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1417910126) is a healthcare organization registered as a home health in San Diego, California and active in the NPI registry since April 2006. The organization maintains 2 additional practice locations and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1417910126

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameMAXIM HEALTHCARE SERVICES, INC.

Location Address3111 CAMINO DEL RIO N STE 1200San Diego, CA 92108-5747

Mailing Address7227 Lee Deforest DriveColumbia, MD 21046-3405 · (410) 910-1500 · Fax (410) 910-1600

Phone(619) 299-9350

Organization SubpartNo

Authorized OfficialDavid KowalczykController · (410) 910-1500

Enumeration DateApril 11, 2006

Last NPPES UpdateJune 21, 20212 updates tracked since enumeration

NPPES CertifiedJune 21, 2021

✔ NPI 1417910126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in CA · 80000381

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.

3111 CAMINO DEL RIO N STE 1200, San Diego, CA 92108

Open in Google Maps ↗

Secondary Practice Locations 2

Location 112975 Brookprinter Pl, Suite 180Poway, CA 92064-8894 · Phone (858) 831-0308 · Fax (858) 831-9337

Location 25030 Camino De La Siesta Ste 405San Diego, CA 92108-3120 · Phone (619) 299-9350

Other Identifiers 1

MedicaidHHA57002HCA

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Maxim Healthcare Services, Inc (CMS certification number 557002), from CMS Care Compare.

Maxim Healthcare Services, Inc

Home health agency · San Diego, CA

OwnershipProprietary

CMS Certification Number557002

Medicare-Certified SinceJanuary 25, 1991

Phone(619) 299-9350

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Other Providers at the Same Location NPPES 12

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

FATMATA JAH RN

Registered Nurse