MAXIM HEALTHCARE SERVICES, INC.
NPI 1164604906
Home Health in Victorville, CA

NPI Status: Active since December 04, 2007

Contact Information

15095 AMARGOSA ROAD
SUITE 102
VICTORVILLE, CA
ZIP 92394
Phone: (760) 243-3377
Fax: (760) 243-2366

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  • Organization
  • Home Health

About MAXIM HEALTHCARE SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Maxim Healthcare Services, Inc., a provider established in Victorville, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1164604906 assigned on December 2007. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. David Kowalczyk (Regional Controller)

NPI
1164604906
Provider Name
MAXIM HEALTHCARE SERVICES, INC.
Entity Type
Organization
Location Address
15095 AMARGOSA ROAD SUITE 102 VICTORVILLE, CA 92394
Location Phone
(760) 243-3377
Location Fax
(760) 243-2366
Mailing Address
7227 LEE DEFOREST DR COLUMBIA, MD 21046
Mailing Phone
(410) 910-1500
Mailing Fax
(760) 243-2366
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2007
Last Update Date
06-21-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID KOWALCZYK

Authorized Official Title
REGIONAL CONTROLLER
Authorized Official Phone
(410) 910-1500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
059121MEDICARE OSCAR/CERTIFICATION (06)CA 
550000847OTHER (01)CAHOME HEALTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164604906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124120890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 2 + 0 + 8 + 9 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1164604906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144653783MRS. ROSA DIAZ
Individual
Case Manager/Care Coordinator15095 AMARGOSA ROAD SUITE 201
VICTORVILLE, CA 92394
(760) 245-4695
1992130405 NINOS M ODA M.D.
Individual
Orthopaedic Surgery15095 AMARGOSA ROAD BLDG 1 STE 106
VICTORVILLE, CA 92394
(760) 245-6495

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164604906, enumerated in the NPI registry as an "organization" on December 04, 2007

The provider is located at 15095 Amargosa Road Suite 102 Victorville, Ca 92394 and the phone number is (760) 243-3377

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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