Provider Demographics
NPI:1568889434
Name:MAXLIFE HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:MAXLIFE HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HO WAH EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-538-5152
Mailing Address - Street 1:500 N CENTRAL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3347
Mailing Address - Country:US
Mailing Address - Phone:818-538-5152
Mailing Address - Fax:818-475-1363
Practice Address - Street 1:500 N CENTRAL AVE STE 100
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3347
Practice Address - Country:US
Practice Address - Phone:818-538-5152
Practice Address - Fax:818-475-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care