MAXIM HEALTHCARE SERVICES, INC. (NPI# 1164604906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164604906 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC. |
| Practice Address |
15095 Amargosa Road Suite 102 Victorville CA 92394 |
| Mailing Address |
7227 Lee Deforest Dr Columbia MD 21046-3236 |
| Practice Telephone | 7602433377 |
| Practice Fax Number | 7602432366 |
| Mailing Telephone | 4109101500 |
| Mailing Fax Number | 4109101600 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2010-06-21 |
| Authorized Official Name | MR. DAVID KOWALCZYK (REGIONAL CONTROLLER) |
| Authorized Official Telephone | 4109101500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HOME HEALTH | 550000847 | 01 |
| 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 |
15095 AMARGOSA ROAD SUITE 102 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144653783 | Rosa Diaz | Case Manager/Care Coordinator | 15095 Amargosa Road, Suite 201, Victorville, CA 92394 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045803 | Desert Horizon Residential Care | Assisted Living Facility | 15952 Condor Rd, Victorville, CA 92394 | 2020-05-28 |
| 1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
| 1811543473 | Silvano Gonzalez | Transportation Broker | 13767 Hidden Mesa Ct, Victorville, CA 92394 | 2019-08-09 |
| 1215442793 | Yun Jung Choi | Pharmacist | 15318 Roy Rogers Dr., Victorville, CA 92394 | 2017-12-06 |
| 1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1093068322 | City Taxi | Taxi | 14871 Totem Pole St, Victorville, CA 92394 | 2012-10-24 |
| 1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
| 1326328584 | Pro Line Transportation LLC | Non-emergency Medical Transport (VAN) | 10604 Karen Dr, Victorville, CA 92394 | 2011-08-19 |
| 1730208927 | Daisy Ann Ukonu | Social Worker | 14252 St Andrews Drive, Suite #5, Victorville, CA 92394 | 2007-03-28 |
| Find all providers in zip 92394 | ||||
| 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 |
|---|---|---|---|---|
| 1467915470 | Serenity Nursing Services, Inc. | Home Health | 14420 Civic Dr Ste 9, Victorville, CA 92392-2384 | 2019-04-08 |
| 1053827097 | Lam Nursing Healthcare Services Inc | Home Health | 14455 Park Ave Ste E, Victorville, CA 92392-2926 | 2017-12-27 |
| 1295159366 | Premier Healthcare Services, LLC | Home Health | 12401 Hesperia Rd Ste 8, Victorville, CA 92395-5844 | 2014-02-10 |
| 1659710598 | Desert Valley Home Health, Inc. | Home Health | 12241 Industrial Blvd Ste 106, Victorville, CA 92395-7795 | 2013-06-24 |
| 1780941849 | Sandra Elizabeth Chavarria | Home Health | 11039 Mesa Linda St, Victorville, CA 92392-4812 | 2012-04-13 |
| 1841591062 | United Nursing Personal Care, Inc | Home Health | 16044 Bear Valley Rd Ste 5, Victorville, CA 92395-8981 | 2010-11-04 |
| 1104067578 | Paramount Professionals Inc | Home Health | 16484 Victor St., Victorville, CA 92395-3726 | 2009-03-16 |
| 1831246032 | St. Bernardine Care Providers,inc. | Home Health | 16519 Victor St Ste 327, Victorville, CA 92395-3922 | 2007-01-03 |
| 1427093905 | Victorville Home Health Agency Services, LLC | Home Health | 14074 Hesperia Rd, Suite 204b, Victorville, CA 92395-4510 | 2006-06-18 |
| 1821618893 | Gail Evonne Johnson-mcintyre | Home Health | 14344 Cajon Ave Ste 102, Victorville, CA 92392-4301 | 2020-04-20 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92394 |
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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.