MAXIM HEALTHCARE SERVICES, INC. (NPI# 1740676147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740676147 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC. |
| Practice Address |
208 Sunset Dr Suite 503 Johnson City TN 37604-2517 |
| Mailing Address |
7227 Lee Deforest Dr Columbia MD 21046-3236 |
| Practice Telephone | 4232029957 |
| Practice Fax Number | 8005412899 |
| Mailing Telephone | 4109101500 |
| Mailing Fax Number | 4109101600 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Authorized Official Name | MR. DUANE BRICKHOUSE (REGIONAL VP OF FINANCE) |
| Authorized Official Telephone | 4109101500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | TN | 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 |
| Indiana Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
| Street Address |
208 SUNSET DR SUITE 503 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459741 | Jean P Whitinger | Marriage & Family Therapist | 208 Sunset Dr, Suite 410, Johnson City, TN 37604-2517 | 2005-10-03 |
| 1235308156 | Brooke Hammond Peccia | Speech-Language Pathologist | 208 Sunset Dr, Suite 367, Johnson City, TN 37604-2517 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1962786780 | Susquehanna Home Health Care Agency | Home Health | 270 Riverside Dr, Johnson City, NY 13790-2739 | 2011-09-29 |
| 1093977118 | Beth Parks Physical Therapy Services, PC | Home Health | 257 Pollard Hill Rd, Johnson City, NY 13790-4206 | 2008-06-30 |
| 1417030404 | Mountain States Health Alliance | Home Health | 509 Med Tech Pkwy Ste 200, Johnson City, TN 37604 | 2006-10-23 |
| 1548376718 | Mountain States Health Alliance | Home Health | 509 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2578 | 2006-08-21 |
| 1649295437 | Nhc-op, L.p. | Home Health | 1617 W Market St Ste A, Johnson City, TN 37604-4903 | 2006-07-13 |
| 1942258769 | Amedisys Tennessee, LLC | Home Health | 2913 Boones Creek Rd, Suite 6, Johnson City, TN 37615-4997 | 2006-05-04 |
| 1225008675 | Ashland Development Incorporated | Home Health | 2315 Silverdale Dr, Johnson City, TN 37601-2162 | 2006-01-26 |
| 1760489405 | Twin Tier Home Health, Inc. | Home Health | 601 Riverside Drive, Johnson City, NY 13790 | 2005-07-07 |
| 1366837569 | Professional Home Care | Home Health | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2015-04-03 |
| 1841695244 | Help At Home, Inc | Home Health | 2 Worth Cir, Suite 1, Johnson City, TN 37601-4304 | 2014-10-28 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.