Maxim Healthcare Services, Inc.

LBN: Maxim Healthcare Services, Inc.
Maxim Healthcare Services, Inc. is an health care organization with primary practice located at 1745 Phoenix Blvd Suite 270, College Park GA 30349-5591. 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 (770) 909-3434, or through Jackson, Kathy via phone (410) 910-1500.

Contact Information

Primary practice address
1745 Phoenix Blvd Suite 270 College Park GA 30349-5591
Phone: (770) 909-3434
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kathy
Phone: (410) 910-1500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 031-R-0037 Georgia

Profile Details

NPI number 1720011539
LBN Legal business name Maxim Healthcare Services, Inc.
DBA Doing business as
Authorized official Jackson, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Sep 20th, 2011 - about 15 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 1720011539 NPPES
Georgia MEDICAID 000699542L
Georgia MEDICAID 000699542AB
Georgia MEDICAID 000699542U
Georgia MEDICAID 000699542G

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