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Contact Information

MAXIM HEALTHCARE SERVICES, INC.
333 E RIVER DR
SUITE 110
EAST HARTFORD, CT06108-4200
 Phone: 860-291-9936
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Adult Day Care

261QA0600X
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
 

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for MAXIM HEALTHCARE SERVICES, INC.

NPI # 1285736520
LBN Legal business name MAXIM HEALTHCARE SERVICES, INC.
Authorized official CHRIS SIPES - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2006
Last updated 09/01/2009 - About 17 years ago
Identifiers
CT License # 0004
CT Medicaid 004220943
MA Medicaid 0600091
CT Other 00422064 PERFORMING PROVIDER
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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