HQM of Beattyville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HQM OF BEATTYVILLE, LLC

Doing business as

Lee County Care & Rehabilitation Center

Practice address

249 E Main St
Beattyville, KY 41311-9249

Phone

(606) 464-3611

NPI assigned

Jun 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul Walczak

Title

Ceo

Phone

(561) 627-0664

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lee County Care & Rehabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124054648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E MAIN ST",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413119249",
            "telephone_number": "606-464-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E MAIN ST",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413119249",
            "telephone_number": "606-464-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF BEATTYVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-627-0664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504668",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee County Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Haddix
• Lisa D Hall, DMD
• Karisha Hayton
• Hannah Hobbs, APRN, FNP-BC
• Helen Genette Holliday
• Casey Humes, PHARMD
• Robert M Hurley
• J&D Medical Services PLLC (J. B. Noble Rural Health Clinic)
• Jackson Hospital Corporation (Beattyville Family Medical Clinic)
• Jackson Hospital Corporation (Beattyville Family Medical Clinic)

• Skilled Nursing Facility in Beattyville, KY
• Providers in Beattyville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.