MAXIM HEALTHCARE SERVICES, INC (NPI# 1811149552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811149552 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC |
| Practice Address |
3019 Greystone Sq Jackson TN 38305-3590 |
| Mailing Address |
7227 Lee Deforest Dr Columbia MD 21046-3236 |
| Practice Telephone | 7316680033 |
| Practice Fax Number | 7316684030 |
| Mailing Telephone | 4109101500 |
| Mailing Fax Number | 4109101600 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2012-10-23 |
| 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 | 0000000618 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1513176 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427678747 | Maxim Healthcare Services, Inc | Home Health | 27200 Tourney Rd Ste 275, Valencia, CA 91355-5388 | 2020-04-17 |
| 1770148272 | Maxim Healthcare Services, Inc | Community/Behavioral Health | 1000 S Fremont Ave Ste 10300, Alhambra, CA 91803-8845 | 2019-05-09 |
| 1790152890 | Maxim Healthcare Services, Inc | Home Health | 700 Cass St Ste 122, Monterey, CA 93940-2921 | 2015-08-25 |
| 1184857567 | Maxim Healthcare Services, Inc | Home Health | 111 Ellison Rd, Suite 2, La Follette, TN 37766-3025 | 2009-09-01 |
| 1871748459 | Maxim Healthcare Services, Inc | Nursing Care | 5401 Vogel Rd Ste 630, Evansville, IN 47715-7835 | 2008-11-24 |
| 1568623098 | Maxim Healthcare Services, Inc | Home Health | 124 Byrd Way, Ste 200, Warner Robins, GA 31088-8986 | 2008-06-18 |
| 1801068820 | Maxim Healthcare Services, Inc | Home Health | 1707 Orlando Central Pkwy, Second Floor, Orlando, FL 32809-5759 | 2008-03-31 |
| 1942471511 | Maxim Healthcare Services, Inc | Home Health | 1387 Oakfield Dr, Suite 89, Brandon, FL 33511-4862 | 2008-03-21 |
| 1285721142 | Maxim Healthcare Services, Inc | Home Health | 10024 Investment Dr Ste 130, Knoxville, TN 37932-2143 | 2006-10-10 |
| 1639273915 | Maxim Healthcare Services, Inc | Home Health | 777 Lowndes Hill Rd., Suite 100, Building 3, Greenville, SC 29607 | 2006-09-08 |
| 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 |
3019 GREYSTONE SQ |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| 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 |
|---|---|---|---|---|
| 1164029930 | Just Like Family Home Care LLC | Home Health | 910 E Northside Dr # 910e, Jackson, MS 39206-5533 | 2020-10-05 |
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1023647955 | Jennifer Mcneil | Home Health | 5814 Clinton Blvd # 2b, Jackson, MS 39209-2807 | 2020-04-02 |
| 1326670977 | Tyesha Smith | Home Health | 200 Rebel Woods Dr, Jackson, MS 39212-3009 | 2020-02-11 |
| 1780230185 | Avis Caring Hands Home Service | Home Health | 1419 Cooks Ave, Jackson, MS 39212-4376 | 2019-08-13 |
| 1063073500 | Dorothy Jean Homes | Home Health | 1836 First Ave, Jackson, MS 39209-6345 | 2019-06-25 |
| 1750941027 | Rock Care Home Health, LLC | Home Health | 3130 E Jackson Blvd Ste B, Jackson, MO 63755-2957 | 2019-06-18 |
| 1417415548 | Serenity Home Health Care | Home Health | 283 Parks Rd, Jackson, MS 39212-9604 | 2019-03-07 |
| 1841762192 | All About You Care LLC | Home Health | 716 Tomlinson St, Jackson, MI 49203-2060 | 2018-12-27 |
| 1013489483 | Sarah Gillum | Home Health | 1127 Greenbriar St, Jackson, MS 39211-2735 | 2018-12-26 |
| Find all providers in JACKSON | ||||
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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.