Provider Demographics
NPI:1386925733
Name:MAXI HOMECARE SERVICES INC
Entity type:Organization
Organization Name:MAXI HOMECARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-497-5434
Mailing Address - Street 1:2119 OLEANDER WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2884
Mailing Address - Country:US
Mailing Address - Phone:214-497-5434
Mailing Address - Fax:
Practice Address - Street 1:2119 OLEANDER WAY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-2884
Practice Address - Country:US
Practice Address - Phone:214-497-5434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility