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MAXIM HEALTHCARE SERVICES, INC.
NPI 1639796527
Community/Behavioral Health in Fresno, CA

Active since June 26, 2020CLIA 05D0979070 · Waiver
6051 N FRESNO ST STE 102, FRESNO, CA 93710(559) 224-9078 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2020, Jun 26, 2020 (2 updates tracked since 2020).

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1639796527) is a healthcare organization registered as a community/behavioral health in Fresno, California and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists David Kowalczyk, Controller, as its authorized official.

NPPES Registry Identity

NPI1639796527
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address6051 N FRESNO ST STE 102Fresno, CA 93710-5280
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236 · (410) 910-1500
Phone(559) 224-9078
Organization SubpartNo
Authorized OfficialDavid KowalczykController · (410) 910-1500
Enumeration DateJune 26, 2020
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1639796527 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
6051 N FRESNO ST STE 102, Fresno, CA 93710
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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 05D0979070

Maxim Healthcare Services Inc · Fresno, CA
Active · expires Oct 11, 2026
CLIA Number05D0979070
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorPreston Arndt
Laboratory Phone(559) 224-9078
Laboratory LocationMaxim Healthcare Services Inc6051 N Fresno St Ste 102, Fresno, CA 93710
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.

MAXIM HEALTHCARE SERVICES, INC.
Respite Care
6051 N FRESNO ST STE 102
FRESNO, CA 93710
Fresno County (559) 227-2250
IGNACIO SANTAMARIA-TORRES
Assistant Behavior Analyst
6051 N FRESNO ST STE 102
FRESNO, CA 93710
Fresno County (559) 650-7224
ALEXANDER DEVON GRAYSON-ALVAREZ
Behavior Technician
6051 N FRESNO ST STE 102
FRESNO, CA 93710
Fresno County (559) 650-7224
BROOKLYNN BANTA
Behavior Technician
6051 N FRESNO ST STE 102
FRESNO, CA 93710
Fresno County (559) 718-0976
JHOANA MEJIA MACIEL
Behavior Technician
6051 N FRESNO ST STE 102
FRESNO, CA 93710
Fresno County (559) 653-1205
ANDRES MAREZLOPEZ
Behavior Technician
6051 N FRESNO ST STE 102
FRESNO, CA 93710
Fresno County (559) 650-7224
ALEJANDRA COVARRUBIAS
Behavior Technician
6051 N FRESNO ST STE 102
FRESNO, CA 93710
Fresno County (559) 650-7224
ISAIAH TRUJILLO
Behavior Analyst
6051 N FRESNO ST STE 102
FRESNO, CA 93710
Fresno County (559) 650-7224

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 1639796527. It was assigned to this organization in the NPPES registry on June 26, 2020.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 6051 N Fresno St Ste 102, Fresno, CA 93710. The listed phone number is (559) 224-9078.

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 05D0979070) is associated with this NPI, valid through October 11, 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 July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.