HQM of Orange Park, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

13900961 Issued in FL

Legal business name

HQM OF ORANGE PARK, LLC

Doing business as

HQM of Orange Park

Practice address

2029 Professional Center Drive
Orange Park, FL 32073

Phone

(904) 272-6194

NPI assigned

Jan 23, 2006

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 names 1

• HQM of Orange Park Doing business as

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174593305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 PROFESSIONAL CENTER DRIVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-272-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 PROFESSIONAL CENTER DRIVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-272-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF ORANGE PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "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": "FL",
            "license": "13900961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HQM of Orange Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Mary Houser
• Caylin Housley, PTA
• Kyle K Houston, DMD
• Alexander Nathaniel Howell, DO
• Maegan Howell, BCBA
• Edward Hu
• Charles H Hudgins, DDS
• Courtney Hudson, MOTR/L
• Adrian Louis Huffard, MD
• Jon Hughes, PT

• Skilled Nursing Facility in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Skilled Nursing Facility in Florida

• 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.