Provider Demographics
NPI:1053568774
Name:MAXIMUM HOME HEALTH CARE, INCORPORATED
Entity type:Organization
Organization Name:MAXIMUM HOME HEALTH CARE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FAREED
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATION
Authorized Official - Phone:219-836-6210
Mailing Address - Street 1:8220 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1704
Mailing Address - Country:US
Mailing Address - Phone:219-836-6210
Mailing Address - Fax:219-836-6212
Practice Address - Street 1:8220 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1704
Practice Address - Country:US
Practice Address - Phone:219-836-6210
Practice Address - Fax:219-836-6212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09-011517-7251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200932770AMedicaid
IN200932770AMedicaid