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Contact Information

MAXIM HEALTHCARE SERVICES, INC.
1900 WEST NEW HAVEN AVE
SUITE 105
MELBOURNE, FL32904
 Phone: 321-951-0011
 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 Number 1558478974
LBN Legal business name MAXIM HEALTHCARE SERVICES, INC.
Authorized official DUANE BRICKHOUSE - (REGIONAL VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 06/08/2016 - About 10 years ago
Identifiers
FL License # 299991574
FL Medicaid 001136400
FL Medicaid 650942800
FL Medicaid 650942879
FL Medicaid 684282800
FL Medicaid 684765000
FL Medicaid 686453896
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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