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MAXIM HEALTHCARE SERVICES, INC.
NPI 1649705336
Community/Behavioral Health in Gardena, CA

Active since May 01, 2017CLIA 05D0970436 · Waiver
879 W 190TH ST STE 1000, GARDENA, CA 90248(310) 329-9115 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Nov 7, 2018 (2 updates tracked since 2018).

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1649705336) is a healthcare organization registered as a community/behavioral health in Gardena, California and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists David Kowalczyk, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1649705336
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address879 W 190TH ST STE 1000Gardena, CA 90248-4255
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236 · (410) 910-1500
Phone(310) 329-9115
Organization SubpartNo
Authorized OfficialDavid KowalczykVp Of Finance · (410) 910-1500
Enumeration DateMay 1, 2017
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1649705336 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
879 W 190TH ST STE 1000, Gardena, CA 90248
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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 05D0970436

Maxim Healthcare Services Inc · Gardena, CA
Active · expires Feb 13, 2028
CLIA Number05D0970436
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorPreston Arndt
Laboratory Phone(310) 329-9115
Laboratory LocationMaxim Healthcare Services Inc879 W 190th St Ste 1000, Gardena, CA 90248
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.

AIJALON BENET BROOKS
Behavior Technician
879 W 190TH ST STE 1000
GARDENA, CA 90248
Los Angeles County (410) 910-1607
WILLIAM COLEMAN JR.
Behavior Technician
879 W 190TH ST STE 1000
GARDENA, CA 90248
Los Angeles County (310) 819-4523
KAYNIA KORLETTE WILSON
Behavior Technician
879 W 190TH ST STE 1000
GARDENA, CA 90248
Los Angeles County (310) 819-4523
BRENDA RUIZ
Behavior Technician
879 W 190TH ST STE 1000
GARDENA, CA 90248
Los Angeles County (131) 032-9911
TIYANI JONES
Behavior Technician
879 W 190TH ST STE 1000
GARDENA, CA 90248
Los Angeles County (310) 819-4523
NMESOMACHI NWOKO
Behavior Technician
879 W 190TH ST STE 1000
GARDENA, CA 90248
Los Angeles County (310) 329-9115
SAMANTHA ASHLEY MENDOZA
Behavior Technician
879 W 190TH ST STE 1000
GARDENA, CA 90248
Los Angeles County (310) 329-9115
MS. BIRDNITA JANELLE DANCY
Behavior Technician
879 W 190TH ST STE 1000
GARDENA, CA 90248
Los Angeles County (410) 910-1607

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 1649705336. It was assigned to this organization in the NPPES registry on May 1, 2017.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 879 W 190th St Ste 1000, Gardena, CA 90248. The listed phone number is (310) 329-9115.

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 05D0970436) is associated with this NPI, valid through February 13, 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 April 3, 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.