Provider Demographics
NPI:1790525558
Name:QUALITY TO THE MAXX RESIDENTIAL SERVICES
Entity type:Organization
Organization Name:QUALITY TO THE MAXX RESIDENTIAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:ADRIAN
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-665-0342
Mailing Address - Street 1:5844 PRAIRIE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5973
Mailing Address - Country:US
Mailing Address - Phone:317-665-0342
Mailing Address - Fax:
Practice Address - Street 1:5844 PRAIRIE CREEK DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-5973
Practice Address - Country:US
Practice Address - Phone:317-665-0342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant