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
1891386819
Provider Type
Organization
Full Name
Maxim Healthcare Services, Inc

Subpart
No
Enumeration Date
2/2/2021
Last Updated
2/2/2021

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

(410) 910-1500

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
Code 253Z00000X	Description In Home Supportive Care Agencies	License Unlisted Issuer

Maxim Healthcare Services, Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Maxim Healthcare Services, Inc

Advanced Health Resources

Cvs/Caremark

Carolina Choice, Llc

Access Family Services, Inc.

Family Based Strategies, Inc

Building Bridgesfor Communities

Community Enrichment Services, Llc.

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