HQM of Jamestown, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0080 Issued in TN

Legal business name

HQM OF JAMESTOWN, LLC

Practice address

208 Duncan St N
Jamestown, TN 38556

Phone

(931) 879-5859

NPI assigned

Jan 17, 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 2

Addresses

Other identifiers 2

Other names 1

• Fentress County Care & Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316926413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 DUNCAN ST N",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-879-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 DUNCAN ST N",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-879-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF JAMESTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "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": "0080",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445362",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440067",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fentress County Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hma Fentress County General Hospital LLC
• Hma Fentress County General Hospital LLC
• Stephanie Michelle Holt, LPC
• Home Comfort Medical Equipment
• Hometown Family Medical Clinic PLLC
• Huffs Transportation
• Daniel Huling, PHARM.D
• Independent Pharmacy Group, Inc.
• Mercy Emmanuel Isang, M.D.
• Jamestown Family Care Clinic, LLC

• All providers in Jamestown, TN
• Nursing Facility/Intermediate Care Facility in Tennessee

• 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.