| Name: | Maxim Healthcare Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 02 Sep 1988 (36 years ago) (Companies founded in September 1988) |
| Entity Number: | 000-909-230 |
| Register Number: | 000909230 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Maryland |
| Principal Address: | 7301 PARKWAY DR MAIL STOP 250HANOVER, MD 21076 |
| Principal Mailing Address: | 125 LINCOLN AVESANTA FE, NM 87501 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205913332 | 2006-11-01 | 2020-08-22 | 7227 LEE DEFOREST RD, COLUMBIA, MD, 210463236, US | 3103 AIRPORT BLVD, SUITE 454, MOBILE, AL, 366063664, US | |||||||||||||||||||||||
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| Phone | +1 251-470-0223 |
Authorized person
| Name | JEREMY SMITH |
| Role | CONTROLLER |
| Phone | 4109101500 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | EXEMPT |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PVT0077Z |
| State | AL |
| Name | Role |
|---|---|
| PRENTICE HALL CORPORATION SYSTEM INC | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
