MAXIM HEALTHCARE SERVICES INC NPI 1417064049

NPI Information

  • NPI: 1417064049
  • Provider Name: MAXIM HEALTHCARE SERVICES, INC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Address: 303 S FLORIDA AVE
    LAKELAND, FL
    ZIP 33801
  • Phone: (863) 683-2699

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NPI Details

MAXIM HEALTHCARE SERVICES, INC is a home health in Lakeland, FL. The provider is 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. MAXIM HEALTHCARE SERVICES, INC NPI is 1417064049. The provider is registered as an organization entity type.

The provider's business location address is:

303 S FLORIDA AVE
LAKELAND, FL
ZIP 33801-623
Phone: (863) 683-2699

The provider's authorized official is Kathy Jackson .
The authorized official title is Regional Vp Of Finance and has the following contact phone number (410) 910-1500.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 10/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health21668096FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1682909100MEDICAIDFLORIDA
2650848100MEDICAIDFLORIDA
3001131700MEDICAIDFLORIDA
4684809500MEDICAIDFLORIDA
5001131701MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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