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Contact Information

MAXIM HEALTHCARE SERVICES, INC.
233 QUARTERMASTER CT
JEFFERSONVILLE, IN47130-3669
 Phone: 812-280-0630
 Fax: 812-280-0655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for MAXIM HEALTHCARE SERVICES, INC.

NPI # 1609092139
LBN Legal business name MAXIM HEALTHCARE SERVICES, INC.
Authorized official DAVID KOWALCZYK - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 03/13/2018 - About 8 years ago
Identifiers
IN License # 007982
IN Medicaid 200335170F
IN Medicaid 200484160C
KY Medicaid 7100463710
KY Medicaid 7100483310
KY Other 720206 PDN LICENSE
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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