MAXIM HEALTHCARE SERVICES, INC. (NPI# 1093746893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093746893 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC. |
| Practice Address |
670 W Fireweed Ln Suite 160 Anchorage AK 99503-2562 |
| Mailing Address |
7227 Lee Deforest Drive Columbia MD 21046-3405 |
| Practice Telephone | 9077700862 |
| Practice Fax Number | 9077701730 |
| Mailing Telephone | 4109101500 |
| Mailing Fax Number | 4109101600 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | MR. DAVID S. KOWALCZYK (REGIONAL CONTROLLER) |
| Authorized Official Telephone | 4109101500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | AK | Agencies | |
| N | 251X00000X | Supports Brokerage | AK | Agencies | |
| Y | 251E00000X | Home Health | AK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HHO951 | 05 | |
| AK | HC5215 | 05 | |
| AK | NA0951 | 05 | |
| AK | PCG951 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386200483 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 34250 Gateway Dr Ste 100, Palm Desert, CA 92211-0856 | 2019-05-14 |
| 1275018251 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 1 Ridgegate Dr Ste 130, Temecula, CA 92590-5505 | 2018-09-26 |
| 1386093375 | Maxim Healthcare Services, Inc. | Home Health | 9400 Gateway Dr, Suite A, Reno, NV 89521-4186 | 2016-06-09 |
| 1053750026 | Maxim Healthcare Services, Inc. | Home Health | 1311 W 33rd St, Lorain, OH 44053-2703 | 2013-06-22 |
| 1164709689 | Maxim Healthcare Services, Inc. | Home Health | 2856 E Buick Cadillac Blvd, Suite 4, Bloomington, IN 47401-5442 | 2011-11-11 |
| 1356635346 | Maxim Healthcare Services, Inc. | Home Health | 9501 State Route 250, Suite 5, Milan, OH 44846-9377 | 2011-06-07 |
| 1033401351 | Maxim Healthcare Services, Inc. | Home Health | 83 E Water St, Chillicothe, OH 45601-2535 | 2011-05-04 |
| 1053543223 | Maxim Healthcare Services, Inc. | Nursing Care | 93 Beaumont St, Clarksville, TN 37040-3217 | 2009-08-20 |
| 1053542019 | Maxim Healthcare Services, Inc. | Home Health | 1248 O St, Suite 308, Lincoln, NE 68508-1493 | 2009-08-07 |
| 1679702898 | Maxim Healthcare Services, Inc. | Home Health | 2314 W 8th St, Erie, PA 16505-4426 | 2009-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
| New York State Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, Maryland 21046-3236 |
| Washington State Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
| Oregon Corporations, Companies and Business Names | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046 |
| Vermont Business Registrations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Drive, Columbia, MD 21046 |
| Colorado Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7301 Parkway Drive, Hanover, MD 21076-1119 |
| Massachusetts Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr., Columbia, MD 21046 |
| Indiana Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
| Street Address |
670 W FIREWEED LN SUITE 160 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912527243 | Melissa Lee Dutkiewicz | Registered Nurse | 670 W Fireweed Ln, Anchorage, AK 99503-2562 | 2020-04-16 |
| 1700341401 | Melinda Carter | Licensed Practical Nurse | 670 W Fireweed Ln, Anchorage, AK 99503-2562 | 2019-02-06 |
| 1508348921 | Susan Marie Kubitz | Registered Nurse | 670 W Fireweed Ln, Anchorage, AK 99503-2562 | 2018-08-31 |
| 1962994210 | Angela Lynn Conway | Registered Nurse | 670 W Fireweed Ln, Anchorage, AK 99503-2562 | 2018-06-02 |
| 1457850018 | Naiara C Taylor | Registered Nurse | 670 W Fireweed Ln, Anchorage, AK 99503-2562 | 2018-02-08 |
| 1730687351 | Ryan Meeks | Licensed Vocational Nurse | 670 W Fireweed Ln, Anchorage, AK 99503-2562 | 2018-01-29 |
| 1457866832 | Cholena Nempayo Norrell | Licensed Practical Nurse | 670 W Fireweed Ln, Anchorage, AK 99503-2562 | 2017-12-07 |
| 1699289249 | Robert Phillip Herndon | Registered Nurse | 670 W Fireweed Ln, Anchorage, AK 99503-2562 | 2017-11-17 |
| 1699211458 | Danielle Cross | Registered Nurse | 670 W Fireweed Ln, Suite 160, Anchorage, AK 99503-2562 | 2017-01-17 |
| 1669914644 | Rachel Hicks | Registered Nurse | 670 W Fireweed Ln, Suite 160, Anchorage, AK 99503-2562 | 2016-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417434150 | Shannon L Mckenzie | Home Health | 3913 Lynn Dr, Anchorage, AK 99508-5745 | 2018-07-25 |
| 1578065793 | Aderonke Akindipe Fnp LLC | Home Health | 2942 Gladys Marie Cir # Q, Anchorage, AK 99516-1407 | 2018-03-03 |
| 1609311430 | Shine Bright Care, LLC | Home Health | 6407 Brayton Dr Ste 100, Anchorage, AK 99507-2149 | 2017-01-03 |
| 1639521214 | Shine Bright Care | Home Health | 3007 Arctic Blvd Spc 2, Anchorage, AK 99503-3478 | 2016-07-07 |
| 1336540624 | Alaskan Home Health, Inc | Home Health | 9191 Old Seward Hwy Ste 19a, Anchorage, AK 99515-2040 | 2014-09-06 |
| 1366865859 | Infinite Care of Alaska LLC | Home Health | 165 East 56th Ave., Suite #3, Anchorage, AK 99518 | 2014-02-04 |
| 1164850707 | Aviana Home Care Services LLC | Home Health | 7671 Little Bend Cir, Anchorage, AK 99507-2945 | 2013-10-17 |
| 1609118397 | Frontier Home Health and Hospice, LLC | Home Health | 3909 Artic Blvd, Anchorage, AK 99503-5770 | 2013-03-21 |
| 1699014597 | Elizabeth Ann Moe | Home Health | 1835 Bragaw St Ste 200, Anchorage, AK 99508-3469 | 2013-02-12 |
| 1215274535 | Immediate Care | Home Health | 1835 S. Bragaw, Suite 200, Anchorage, AK 99508 | 2013-01-07 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.