MAXIM HEALTHCARE SERVICES INC. (NPI# 1679095434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679095434 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES INC. |
| Practice Address |
801 Corporate Center Dr Ste 210 Pomona CA 91768-2627 |
| Mailing Address |
7227 Lee Deforest Dr Columbia MD 21046-3236 |
| Practice Telephone | 6269626453 |
| Mailing Telephone | 4109101500 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Authorized Official Name | DAVID KOWALCZYK (VP OF FINANCE) |
| Authorized Official Telephone | 4109101500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1316334055 | Maxim Healthcare Services Inc. | Nursing Care | 2525 Harrodsburg Rd Ste 120, Lexington, KY 40504-3358 | 2015-04-21 |
| 1477051993 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 24120 Van Ry Blvd Ste 400, Mountlake Terrace, WA 98043-5459 | 2018-01-30 |
| 1003280405 | Maxim Healthcare Services Inc. | Home Health | 314 Goff Mountain Rd, Suite 6, Charleston, WV 25313-6602 | 2015-11-23 |
| 1033402730 | Maxim Healthcare Services Inc. | Home Health | 6475 Christie Ave Ste 350, Emeryville, CA 94608 | 2011-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MAXIM HEALTHCARE SERVICES INC. | 7227 Lee Deforest Dr, Columbia, Maryland 21046-3236 |
| Street Address |
801 CORPORATE CENTER DR STE 210 |
| City | POMONA |
| State | CA |
| Zip Code | 91768-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700969078 | Maxim Healthcare Services, Inc. | Home Health | 801 Corporate Center Dr Ste 210, Pomona, CA 91768-2627 | 2006-10-23 |
| 1962027250 | Leslie Salinas | Behavioral Analyst | 801 Corporate Center Dr Ste 210, Pomona, CA 91768-2627 | 2020-06-11 |
| 1255970125 | Kelcey Rae Spencer | Behavioral Analyst | 801 Corporate Center Dr Ste 210, Pomona, CA 91768-2627 | 2019-12-24 |
| 1053841858 | Angela Marie Russo | Behavioral Analyst | 801 Corporate Center Dr Ste 210, Pomona, CA 91768-2627 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653262 | Fernando Iniguez | Community/Behavioral Health | 404 W Alvarado St, Pomona, CA 91768-3015 | 2020-09-08 |
| 1972124378 | Rosa Guadalupe Garcia | Community/Behavioral Health | 1890 N Garey Ave Ste C, Pomona, CA 91767-2923 | 2020-04-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1700270188 | Hillsides | Community/Behavioral Health | 1902 Royalty Dr Ste 240&260, Pomona, CA 91767-3061 | 2015-03-24 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1720404239 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 942 Barbara Ln, Pomona, CA 91767 | 2014-03-07 |
| 1801235973 | Medi-cure Health Services, Inc. | Community/Behavioral Health | 1444 E Holt Ave, Pomona, CA 91767-5865 | 2013-06-21 |
| 1073952149 | Medi-cure Health Services, Inc | Community/Behavioral Health | 1460 E Holt Ave # 430, Pomona, CA 91767-5856 | 2013-06-21 |
| 1427497593 | Medi-cure Health Seervices, Inc. | Community/Behavioral Health | 1460 E Holt Ave Ste 6, Pomona, CA 91767-5835 | 2013-06-21 |
| 1346594405 | Angie Wellness & Recovery Center | Community/Behavioral Health | 637 N Park Ave, Pomona, CA 91768-3669 | 2012-10-28 |
| Find all providers in POMONA | ||||
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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.