Provider Demographics
NPI:1174854137
Name:MAXIMUM HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:MAXIMUM HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEWALE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-738-6052
Mailing Address - Street 1:2617 CREEK CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1515
Mailing Address - Country:US
Mailing Address - Phone:214-738-6116
Mailing Address - Fax:972-222-7234
Practice Address - Street 1:2617 CREEK CROSSING RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-1515
Practice Address - Country:US
Practice Address - Phone:214-738-6116
Practice Address - Fax:972-222-7234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health