Provider Demographics
NPI:1841296100
Name:MAXIMUM CARE INC.
Entity type:Organization
Organization Name:MAXIMUM CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FISCAL OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELUSKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-264-2353
Mailing Address - Street 1:2127 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-4824
Mailing Address - Country:US
Mailing Address - Phone:610-264-2353
Mailing Address - Fax:610-264-8374
Practice Address - Street 1:2127 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-4824
Practice Address - Country:US
Practice Address - Phone:610-264-2353
Practice Address - Fax:610-264-8374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006809740001Medicaid
PA1006809740002Medicaid