| Organization Name: | MAXICARE, INC. |
| NPI Number: | 1932344439 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LICH CHI VU (PRESIDENT/ADMINISTRATOR) |
| Mailing Address: | 17512 Highway 6 Ste F-009 Manvel |
| State: | TX US |
| Postal Code: | 775783749 |
| Phone Number: | 2812163049 |
| Fax Number: | 2815303687 |
| NPI Enumeration Date: | 12/11/2008 |
| NPI Last Update Date: | 06/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 012331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |