Provider Demographics
NPI:1124892930
Name:MAX CARE SERVICES INC
Entity type:Organization
Organization Name:MAX CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SALIA
Authorized Official - Last Name:KALLON
Authorized Official - Suffix:
Authorized Official - Credentials:BED, AAS
Authorized Official - Phone:571-327-9993
Mailing Address - Street 1:7902 CHARLES THOMSON LN APT 3
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-6529
Mailing Address - Country:US
Mailing Address - Phone:571-327-9993
Mailing Address - Fax:
Practice Address - Street 1:1615 18TH ST N APT 1007
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-1631
Practice Address - Country:US
Practice Address - Phone:571-327-9993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care