Maxim Healthcare Services, Inc.

LBN: Maxim Healthcare Services, Inc.
Maxim Healthcare Services, Inc. is an health care organization with primary practice located at 555 Walnut St Ste 150 , Chattanooga TN 37402-1314. 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 (423) 553-5530, or through Kowalczyk, David via phone (410) 910-1730.

Contact Information

Primary practice address
555 Walnut St Ste 150 Chattanooga TN 37402-1314
Phone: (423) 553-5530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kowalczyk, David
Phone: (410) 910-1730

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 0000000613 Tennessee
Agencies / Home Health 251E00000X L4380861511 Tennessee

Profile Details

NPI number 1689769820
LBN Legal business name Maxim Healthcare Services, Inc.
DBA Doing business as
Authorized official Kowalczyk, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 25th, 2024 - about 2 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 1689769820 NPPES
Tennessee MEDICAID 5441954

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