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MAXIM HEALTHCARE SERVICES, INC.
NPI 1740019462
Community/Behavioral Health in Roseville, CA

Active since July 31, 2024CLIA 05D1039677 · Waiver
1478 STONE POINT DR STE 200, ROSEVILLE, CA 95661(916) 771-7444 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 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 1740019462) is a healthcare organization registered as a community/behavioral health in Roseville, California and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists David Kowalczyk, Executive Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1740019462
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address1478 STONE POINT DR STE 200Roseville, CA 95661-2869
Mailing Address7227 Lee Deforest DrColumbia, MD 21046-3236 · (410) 910-1500
Phone(916) 771-7444
Organization SubpartNo
Authorized OfficialDavid KowalczykExecutive Vp Of Finance · (410) 910-1500
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1740019462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1478 STONE POINT DR STE 200, Roseville, CA 95661
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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 05D1039677

Maxim Healthcare Services Inc · Roseville, CA
Active · expires Jan 28, 2027
CLIA Number05D1039677
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorPreston W. Arndt
Laboratory Phone(916) 771-7444
Laboratory LocationMaxim Healthcare Services Inc151 North Sunrise Avenue, Suite 905, Roseville, CA 95661
CLIA data matches this NPI record on: 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.

SNEZHANA TARYANIK
Behavior Technician
1478 STONE POINT DR STE 200
ROSEVILLE, CA 95661
Placer County (916) 472-3443
KATY PATRICE SURRITT
Behavior Technician
1478 STONE POINT DR STE 200
ROSEVILLE, CA 95661
Placer County (916) 472-3443
DAPHNE VINZANT
Behavior Technician
1478 STONE POINT DR STE 200
ROSEVILLE, CA 95661
Placer County (916) 771-7444
GWENECIA JACKSON
Behavior Technician
1478 STONE POINT DR STE 200
ROSEVILLE, CA 95661
Placer County (916) 472-3443
MARISSA BELL
Behavior Technician
1478 STONE POINT DR STE 200
ROSEVILLE, CA 95661
Placer County (916) 472-3443
VALERIE JAMES JENNINGS
Behavior Technician
1478 STONE POINT DR STE 200
ROSEVILLE, CA 95661
Placer County (916) 771-7444
KINDRA M PRING BCBA
Behavior Analyst
1478 STONE POINT DR STE 200
ROSEVILLE, CA 95661
Placer County (916) 771-7444
LARA MAE NISPEROS
Assistant Behavior Analyst
1478 STONE POINT DR STE 200
ROSEVILLE, CA 95661
Placer County (408) 204-5502

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 1740019462. It was assigned to this organization in the NPPES registry on July 31, 2024.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 1478 Stone Point Dr Ste 200, Roseville, CA 95661. The listed phone number is (916) 771-7444.

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 05D1039677) is associated with this NPI, valid through January 28, 2027. 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 31, 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.