Organization Active NPI

HQM of Greeneville West, LLC

Doing business as Greeneville Care & Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Greeneville, TN
National Provider Identifier
1225017791
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0995 Issued in TN
Legal business name
HQM OF GREENEVILLE WEST, LLC
Doing business as
Greeneville Care & Rehabilitation Center
Practice address
106 Holt CT
Greeneville, TN 37743-6917
Phone
(423) 639-0213
NPI assigned
Jan 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0995 TN Primary
Skilled Nursing Facility 314000000X 00995 TN

Addresses

Primary practice location

106 Holt CT
Greeneville, TN 37743-6917

Mailing address

106 Holt CT
Greeneville, TN 37743-6917
Phone (423) 639-0213

Other identifiers 2

IdentifierTypeStateIssuer
7440318MedicaidTN
0445351MedicaidTN

Other names 1

  • Greeneville Care & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225017791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HOLT CT",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377436917",
            "telephone_number": "423-639-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HOLT CT",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377436917",
            "telephone_number": "423-639-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF GREENEVILLE WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2025-09-11",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0995",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "00995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440318",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445351",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greeneville Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.