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MAXIM HEALTHCARE SERVICES, INC.
NPI 1679506398
Home Health in Gardena, CA

Active since July 08, 2006
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 02, 2026.

Record update history: Apr 3, 2024, Aug 30, 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 1679506398) is a healthcare organization registered as a home health in Gardena, California and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Gardena and lists David S. Kowalczyk, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1679506398
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address879 W 190TH ST STE 1000Gardena, CA 90248-4255
Mailing Address7227 Lee Deforest DriveColumbia, MD 21046-3405 · (410) 910-1500 · Fax (410) 910-1600
Phone(310) 329-9115
Organization SubpartNo
Authorized OfficialDavid S. KowalczykVp Of Finance · (410) 910-1730
Enumeration DateJuly 8, 2006
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1679506398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 980000985
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.
879 W 190TH ST STE 1000, Gardena, CA 90248
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Secondary Practice Location 1

Location 11515 W 190th St, Suite 155Gardena, CA 90248-4319 · Phone (310) 329-9115 · Fax (310) 329-1147

Other Identifiers 1

MedicaidHHA57666HCA

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 1679506398. It was assigned to this organization in the NPPES registry on July 8, 2006.

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 Home Health with taxonomy code 251E00000X.

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.