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Contact Information

MAXIM HEALTHCARE SERVICES, INC.
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA92408
 Phone: 909-891-1599
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for MAXIM HEALTHCARE SERVICES, INC.

NPI # 1063520286
LBN Legal business name MAXIM HEALTHCARE SERVICES, INC.
Authorized official DAVID KOWALCZYK - (REGIONAL VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2006
Last updated 08/08/2018 - About 8 years ago
Identifiers
CA License # 240000503
CA Medicaid HHA57299H
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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