Provider Demographics
NPI:1528363462
Name:MAXIMUM HOSPICE & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:MAXIMUM HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUBARAK
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:MIRJAT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:708-906-2853
Mailing Address - Street 1:8220 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1704
Mailing Address - Country:US
Mailing Address - Phone:219-836-5100
Mailing Address - Fax:219-836-5101
Practice Address - Street 1:8220 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1704
Practice Address - Country:US
Practice Address - Phone:219-836-5100
Practice Address - Fax:219-836-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN012461251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based