MAXIM HABILITATION SERVICES, LLC (NPI# 1497941512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497941512 |
| Entity Type | Organization |
| Organization Name | MAXIM HABILITATION SERVICES, LLC |
| Practice Address |
1399 Ashleybrook Ln Suite 250 Winston Salem NC 27103-2961 |
| Mailing Address |
7227 Lee Deforest Dr Columbia MD 21046-3236 |
| Practice Telephone | 3367608884 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | MR. JEREMY SMITH (CONTROLLER) |
| Authorized Official Telephone | 4109101500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417144304 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 2634 Chapel Hill Blvd, Suite 210, Durham, NC 27707 | 2007-09-25 |
| 1376739359 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 305 E Macon St Ste D, Warrenton, NC 27589-2001 | 2007-09-24 |
| 1669668646 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 2507 Neuse Blvd Ste F, New Bern, NC 28562-3361 | 2007-09-24 |
| 1629264601 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 943 W Andrews Ave Ste D, Henderson, NC 27536-2587 | 2007-09-24 |
| 1225224348 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 1700 W Innes St, Unit 22, Salisbury, NC 28144-2552 | 2007-09-21 |
| 1851587976 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 2405 N Herritage St, Suite F, Kinston, NC 28501-1637 | 2007-09-21 |
| 1205022324 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 216 N Bickett Blvd # D, Louisburg, NC 27549-2473 | 2007-09-21 |
| 1437345550 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 592 E Us Highway 19 E Byp, Burnsville, NC 28714-7202 | 2007-09-21 |
| 1396943882 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 205 E Meadow Rd, Eden, NC 27288-3453 | 2007-07-05 |
| 1245438746 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 4411 W Market St, Suite 304, Greensboro, NC 27407-1370 | 2007-07-05 |
| Street Address |
1399 ASHLEYBROOK LN SUITE 250 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760410765 | Maxim Healthcare Services, Inc. | Home Health | 1399 Ashleybrook Ln, Suite 250, Winston Salem, NC 27103-2961 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154867885 | Best Choice Health Services Inc | Day Training, Developmentally Disabled Services | 5023 Page St, Winston Salem, NC 27105-3136 | 2017-01-19 |
| 1033651070 | Derek's Place | Day Training, Developmentally Disabled Services | 150 Secret Garden Ln, Apt 1, Winston Salem, NC 27104-4721 | 2016-11-08 |
| 1003103722 | Better Opportunities LLC | Day Training, Developmentally Disabled Services | 8011 North Point Blvd Ste A, Winston Salem, NC 27106-3244 | 2011-07-01 |
| 1962797530 | The Center for Creating Opportunities, LLC | Day Training, Developmentally Disabled Services | 7748 N Point Blvd, Winston Salem, NC 27106-3310 | 2011-06-12 |
| 1376772483 | New Horizon Genuine Care | Day Training, Developmentally Disabled Services | 4661 Kellys Trl, Winston Salem, NC 27101-2319 | 2009-07-09 |
| 1518110790 | Oracle Health Enhancement | Day Training, Developmentally Disabled Services | 4335 Northampton Dr, Winston Salem, NC 27105-3245 | 2008-10-31 |
| 1609026350 | Reaching Our Goals, LLC | Day Training, Developmentally Disabled Services | 1001 S Marshall St Ste 14, Winston Salem, NC 27101-5852 | 2008-09-30 |
| 1275798522 | Lj Moore Incorporated | Day Training, Developmentally Disabled Services | 2306 Cragmore Rd, Winston Salem, NC 27107-2458 | 2008-07-25 |
| 1629233614 | Shirley Brown Hamilton | Day Training, Developmentally Disabled Services | 1001 S Marshall St Ste 52, Winston Salem, NC 27101-5858 | 2008-07-19 |
| 1689872137 | Crse Advanced Placement Homes, Inc. | Day Training, Developmentally Disabled Services | 901 N Cleveland Ave, Winston Salem, NC 27101-3102 | 2007-07-06 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on MAXIM HABILITATION SERVICES, LLC.
| 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.