OrganizationActive
Maxancillary, LLC
NPI 1609443183 · Customized Equipment (DME) · Bountiful, UT
Provider details
- NPI number
- 1609443183
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Steve Adamson, Manager(801) 703-3990
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
596 W 750 S # 310-F
Bountiful, UT 84010-7268
Phone: (801) 703-3990
Street-level locationGet directions
Mailing address
596 W 750 S # 310-F
Bountiful, UT 84010-7268
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2021-06-04
- Certified
- 2021-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.