Provider Demographics
NPI:1407003122
Name:MAXIMUM HOME HEALTH CARE, INCORPORATED
Entity Type:Organization
Organization Name:MAXIMUM HOME HEALTH CARE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FAREED
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-585-6197
Mailing Address - Street 1:31081 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-4416
Mailing Address - Country:US
Mailing Address - Phone:727-585-6197
Mailing Address - Fax:727-585-6236
Practice Address - Street 1:31081 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-4416
Practice Address - Country:US
Practice Address - Phone:727-585-6197
Practice Address - Fax:727-585-6236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993309251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109215Medicare Oscar/Certification