Organization Active NPI

HQM of Meadows East, LLC

Doing business as Meadows East Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1285614982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100428 Issued in KY
Legal business name
HQM OF MEADOWS EAST, LLC
Doing business as
Meadows East Care & Rehabilitation Center
Practice address
2529 Six Mile LN
Louisville, KY 40220-2934
Phone
(502) 491-5560
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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
(256) 162-7066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100428 KY Primary

Addresses

Primary practice location

2529 Six Mile LN
Louisville, KY 40220-2934

Mailing address

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

Other identifiers 1

IdentifierTypeStateIssuer
12504254MedicaidKY

Other names 1

  • Meadows East 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": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285614982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 SIX MILE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202934",
            "telephone_number": "502-491-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 SIX MILE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202934",
            "telephone_number": "502-491-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF MEADOWS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "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": "256-162-7066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504254",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows East Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • 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.