Active NPI
HQM of Montgomery County, LLC
- Skilled Nursing Facility
- Clarksville, TN
National Provider Identifier
1255360699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0191
- Legal business name
- HQM OF MONTGOMERY COUNTY, LLC
- Doing business as
- Montgomery Care & Rehabilitation Center
- Practice address
- 198 Old Farmers Road
Clarksville, TN 37043 - Phone
- (931) 358-2900
- NPI assigned
- Jun 30, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0191 | TN | |
| Skilled Nursing Facility | 314000000X | 0191 | TN | Primary |
Addresses
Primary practice location
198 Old Farmers Road
Clarksville, TN 37043
Mailing address
198 Old Farmers Rd
Clarksville, TN 37043-4032
Phone (931) 358-2900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445448 | Medicaid | TN | |
| 7440143 | Medicaid | TN |
Other names 1
- Montgomery Care & Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1255360699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 OLD FARMERS RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434032",
"telephone_number": "931-358-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 OLD FARMERS ROAD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-358-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HQM OF MONTGOMERY COUNTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"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": "0191",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445448",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440143",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Montgomery Care & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarksville, 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.