MAXIM HEALTHCARE SERVICES, INC. (NPI# 1417994864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417994864 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC. |
| Practice Address |
631 River Oaks Pkwy San Jose CA 95134-1907 |
| Mailing Address |
7227 Lee Deforest Dr Columbia MD 21046-3405 |
| Practice Telephone | 4089147478 |
| Practice Fax Number | 4082442633 |
| Mailing Telephone | 4109101500 |
| Mailing Fax Number | 4109101600 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-06-13 |
| 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 | 70000287 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA57119G/05-K053 | 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 |
| Street Address |
631 RIVER OAKS PKWY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95134-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232480 | Malgorzata Beata Bochenska | Behavioral Analyst | 631 River Oaks Pkwy, San Jose, CA 95134-1907 | 2020-07-22 |
| 1790300564 | Keiko Ushijima-mwesigwa | Assistant Behavior Analyst | 631 River Oaks Pkwy, San Jose, CA 95134-1907 | 2020-06-08 |
| 1538791801 | Sarah Mcgeehon | Behavioral Analyst | 631 River Oaks Pkwy, San Jose, CA 95134-1907 | 2020-02-05 |
| 1629551882 | Alyssa Meagan Leonard | Registered Nurse | 631 River Oaks Pkwy, San Jose, CA 95134-1907 | 2018-09-12 |
| 1700363959 | Veronica Marie Gonzalez | Behavioral Analyst | 631 River Oaks Pkwy, San Jose, CA 95134-1907 | 2018-07-20 |
| 1629510565 | Maxim Healthcare Services, Inc. | Home Health | 631 River Oaks Pkwy, San Jose, CA 95134-1907 | 2016-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013433945 | Jessica Roberson | Speech-Language Pathologist | 330 Crescent Village Circle, San Jose, CA 95134 | 2017-08-22 |
| 1407221948 | Bay Area Behavioral Group | Community/Behavioral Health | 4423 Fortran Court, #136, San Jose, CA 95134 | 2015-12-09 |
| 1891114500 | Adriane Jones | Occupational Therapist | 640 Epic Way, Apartment #271, San Jose, CA 95134 | 2014-04-09 |
| 1255758165 | Adam Moreno | Counselor | 2625 Zanker Rd., San Jose, CA 95134 | 2014-03-28 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1659611556 | 360 Degree Customer Inc | Early Intervention Provider Agency | 4423 Fortran Drive, # 114, San Jose, CA 95134 | 2013-03-01 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1538348008 | Roxanne F Ubana | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134 | 2007-10-31 |
| 1538351044 | William Lopez Robles | Counselor | 2625 Zanker Road, San Jose, CA 95134 | 2007-08-17 |
| 1881717296 | Chloe Chu | Dentist | 3720 N. First Street, Suite C, San Jose, CA 95134 | 2007-04-09 |
| Find all providers in zip 95134 | ||||
| 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 |
|---|---|---|---|---|
| 1902415540 | World Trekker LLC | Home Health | 2756 White Acres Drive, San Jose, CA 95148 | 2020-07-29 |
| 1417584277 | Apple Home Health LLC | Home Health | 1570 Theo Dr, San Jose, CA 95131-2465 | 2020-03-23 |
| 1023653011 | Guardian Angel Home Care of San Jose | Home Health | 1885 The Alameda Ste 208, San Jose, CA 95126-1747 | 2019-11-13 |
| 1861056962 | Blanca Gloria Avila | Home Health | 1522 Hillsdale Ave, San Jose, CA 95118-1037 | 2019-04-24 |
| 1699238782 | Preserve Healthcare Services LLC | Home Health | 1633 Alum Rock Ave, San Jose, CA 95116-2430 | 2019-04-07 |
| 1437616000 | Home Connect Home Health LLC | Home Health | 1573 Sawleaf Ct, San Jose, CA 95131-2556 | 2019-03-01 |
| 1841756905 | Unihealth Home Care, Inc. | Home Health | 2670 S White Rd Ste 262, San Jose, CA 95148-2086 | 2019-02-13 |
| 1720530009 | Best Choice Home Health Care, Inc. | Home Health | 2230 Will Wool Dr Ste 103, San Jose, CA 95112-2605 | 2016-11-02 |
| 1609321108 | Emmanuel Healthcare South Bay, Inc. | Home Health | 800 Charcot Ave, Ste 113, San Jose, CA 95131-2211 | 2016-08-24 |
| 1740734318 | Home Helpers and Direct Link #58851 | Home Health | 97 S 2nd St Ste 100, San Jose, CA 95113-2512 | 2016-08-11 |
| Find all providers in SAN JOSE | ||||
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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.