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MAXIM HEALTHCARE SERVICES, INC.
NPI 1417994864
Home Health in San Jose, CA

Active since June 01, 2006CLIA 05D0971263 · Waiver
631 RIVER OAKS PKWY, SAN JOSE, CA 95134(408) 914-7478(408) 244-2633 Get Directions Write a Review

NPPES record last updated: June 13, 2016. 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 1417994864) is a healthcare organization registered as a home health in San Jose, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists David Kowalczyk, Regional Controller, as its authorized official.

NPPES Registry Identity

NPI1417994864
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address631 RIVER OAKS PKWYSan Jose, CA 95134-1907
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3405 · (410) 910-1500 · Fax (410) 910-1600
Phone(408) 914-7478
Fax(408) 244-2633
Organization SubpartNo
Authorized OfficialDavid KowalczykRegional Controller · (410) 910-1500
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 13, 2016
✔ NPI 1417994864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 70000287
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.
631 RIVER OAKS PKWY, San Jose, CA 95134
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Other Identifiers 1

MedicaidHHA57119G/05-K053CA

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 05D0971263

Maxim Healchcare Services · San Jose, CA
Active · expires Mar 7, 2028
CLIA Number05D0971263
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorPreston W. Arndt
Laboratory Phone(408) 914-7478
Laboratory LocationMaxim Healchcare Services631 River Oaks Pkwy, San Jose, CA 95134
CLIA data matches this NPI record on: Address 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.

KEVIN NGUYEN
Assistant Behavior Analyst
631 RIVER OAKS PKWY
SAN JOSE, CA 95134
Santa Clara County (408) 914-7478
SHOHAIB ANSARI
Assistant Behavior Analyst
631 RIVER OAKS PKWY
SAN JOSE, CA 95134
Santa Clara County (408) 914-7478
VIOLA GESENYA CARRETERO
Behavior Technician
631 RIVER OAKS PKWY
SAN JOSE, CA 95134
Santa Clara County (408) 444-6689
SRIJA CHITTIREDDY
Behavior Technician
631 RIVER OAKS PKWY
SAN JOSE, CA 95134
Santa Clara County (408) 914-9153
TATUM CATHERINE WIEDER
Behavior Technician
631 RIVER OAKS PKWY
SAN JOSE, CA 95134
Santa Clara County (408) 914-7478
ALYSA R BETIONG
Behavior Technician
631 RIVER OAKS PKWY
SAN JOSE, CA 95134
Santa Clara County (408) 914-7478
LOYDA JEANNETTE AMADORKELLY
Behavior Technician
631 RIVER OAKS PKWY
SAN JOSE, CA 95134
Santa Clara County (408) 914-3851
XIANA MAYLEAH LOPEZ
Behavior Technician
631 RIVER OAKS PKWY
SAN JOSE, CA 95134
Santa Clara County (408) 914-7478

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 1417994864. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 631 River Oaks Pkwy, San Jose, CA 95134. The listed phone number is (408) 914-7478.

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 05D0971263) is associated with this NPI, valid through March 7, 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 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.