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Contact Information

MAXIM HEALTHCARE SERVICES, INC.
3000 EAST COLISEUM BLVD.
SUITE 300
FORT WAYNE, IN46805
 Phone: 260-432-1166
 Fax: 260-436-3914
 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 # 1356459747
LBN Legal business name MAXIM HEALTHCARE SERVICES, INC.
Authorized official DUANE BRICKHOUSE - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2006
Last updated 11/14/2016 - About 10 years ago
Identifiers
IN License # 003757-1
IN Medicaid 164297
IN Medicaid 200484160A
OH Medicaid 2475521
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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