Provider Demographics
NPI:1932930799
Name:MAXIMUM HOME HEALTHCARE, LLC.
Entity type:Organization
Organization Name:MAXIMUM HOME HEALTHCARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEJIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-610-1458
Mailing Address - Street 1:3596 SENNA XANDER APT 204
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-0043
Mailing Address - Country:US
Mailing Address - Phone:419-610-1458
Mailing Address - Fax:
Practice Address - Street 1:3596 SENNA XANDER APT 204
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-0043
Practice Address - Country:US
Practice Address - Phone:419-610-1458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health