Look up the most recent NPI and PECOS records

Maxim Healthcare Services, Inc

Community/Behavioral Health

Agencies

8521 Six Forks Rd Ste 350, Raleigh, NC 27615-5863

PECOS Enrollment

Based on the most recent information from CMS, provider Maxim Healthcare Services, Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1790403095
Provider Type
Organization
Full Name
Maxim Healthcare Services, Inc

Subpart
No
Enumeration Date
8/22/2022
Last Updated
8/22/2022

Contact Information

Practice Location

8521 Six Forks Rd Ste 350, Raleigh, NC 27615-5863

(919) 676-3118

Unlisted Fax

Mailing Location

7227 Lee Deforest Dr, Columbia, MD 21046-3236

Unlisted Phone

Unlisted Fax

Authorized Official

Kowalczyk, David (Controller)

(410) 910-1500

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer

Maxim Healthcare Services, Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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