MAXIM HEALTHCARE SERVICES, INC. (NPI# 1609087485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609087485 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC. |
| Practice Address |
17291 Irvine Blvd Suite 404 Tustin CA 92780-2941 |
| Mailing Address |
7227 Lee Deforest Rd Columbia MD 21046-3236 |
| Practice Telephone | 7143680640 |
| Practice Fax Number | 7143680665 |
| Mailing Telephone | 4109101500 |
| Mailing Fax Number | 4109101600 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | 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 |
| 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 |
| Street Address |
17291 IRVINE BLVD SUITE 404 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548351489 | Ismail Yassai | Psychologist | 17291 Irvine Blvd, Suite 104, Tustin, CA 92780-2941 | 2006-09-27 |
| 1841633393 | Magnolia Ng | Chiropractor | 17291 Irvine Blvd, Ste 103, Tustin, CA 92780-2941 | 2013-04-15 |
| 1720421316 | Tustin Elite Chiropractic | Chiropractor | 17291 Irvine Blvd, Suite 103, Tustin, CA 92780-2941 | 2013-04-12 |
| 1497001804 | Steven Robert Earley | Marriage & Family Therapist | 17291 Irvine Blvd, Tustin, CA 92780-2941 | 2012-08-03 |
| 1366730657 | Bright Star | Speech-Language Pathologist | 17291 Irvine Blvd, Suite 325, Tustin, CA 92780-2941 | 2011-07-20 |
| 1790079598 | Maritza Plascencia | Marriage & Family Therapist | 17291 Irvine Blvd, Suite 250, Tustin, CA 92780-2941 | 2011-06-09 |
| 1225266794 | Luisa Acosta | Speech-Language Pathologist | 17291 Irvine Blvd, Suite 325, Tustin, CA 92780-2941 | 2009-06-23 |
| 1629268792 | Peter Hu | Psychiatry & Neurology | 17291 Irvine Blvd, Suite 104, Tustin, CA 92780-2941 | 2007-07-26 |
| 1568669992 | Roderick Dean Ponath | Psychiatry & Neurology | 17291 Irvine Blvd, Suite 104, Tustin, CA 92780-2941 | 2007-06-29 |
| 1992833735 | Gay H Irons | Psychologist | 17291 Irvine Blvd, Suite 161, Tustin, CA 92780-2941 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| 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 |
|---|---|---|---|---|
| 1588719579 | Kaiser Foundation Hospitals | Home Health | 17542 East 17th St, Tustin, CA 92780-1959 | 2007-01-23 |
| 1730295650 | Coram Healthcare Corporation of Southern California | Home Health | 3002 Dow Ave, Ste 104, Tustin, CA 92780-7233 | 2006-08-22 |
| 1760656938 | Preferred Care Services, LLC | Home Health | 17842 Irvine Blvd, Suite 200, Tustin, CA 92780-3203 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548225 | Natalie Deanne Moreno | Home Health | 42 W Campbell Ave Ste 101, Campbell, CA 95008-1042 | 2020-11-06 |
| 1174124994 | Soul Care Home Health | Home Health | 21243 Ventura Blvd Ste 235, Woodland Hills, CA 91364-2113 | 2020-11-06 |
| 1942801840 | Integrated Home Health Care Inc | Home Health | 6354 Van Nuys Blvd Ste 101, Van Nuys, CA 91401-2601 | 2020-11-06 |
| 1265033062 | Cityrose Home Health Services Inc. | Home Health | 2107 W Manchester Ave Ste 206, Los Angeles, CA 90047-2953 | 2020-11-06 |
| 1588265441 | Tender Home Health | Home Health | 17031 Chatsworth St Ste 201, Granada Hills, CA 91344-5883 | 2020-11-05 |
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1851992267 | Galaxy Home Health | Home Health | 13647 Vanowen St Ste C, Van Nuys, CA 91405-4262 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
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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.