Maxim Healthcare Services, Inc.

LBN: Maxim Healthcare Services, Inc.
Maxim Healthcare Services, Inc. is an health care organization with primary practice located at 2743 Perimeter Pkwy Ste 110 , Augusta GA 30909-6498. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Maxim Healthcare Services, Inc. can be contacted via phone (706) 619-2058, or through Kowalczyk, David via phone (410) 910-1500.

Contact Information

Primary practice address
2743 Perimeter Pkwy Ste 110 Augusta GA 30909-6498
Phone: (706) 619-2058
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kowalczyk, David
Phone: (410) 910-1500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 121-R-0020 Georgia

Profile Details

NPI number 1265465074
LBN Legal business name Maxim Healthcare Services, Inc.
DBA Doing business as
Authorized official Kowalczyk, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Nov 29th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265465074 NPPES
Georgia MEDICAID 000699542AC
Georgia MEDICAID EN1090
Georgia MEDICAID 000699542R
Georgia MEDICAID 000669424B
Georgia MEDICAID 000699542E
Georgia MEDICAID EXO653

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