Organization Active NPI

HQM of Fort Myers, LLC

Doing business as Fort Myers Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Fort Myers, FL
National Provider Identifier
1346294766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1159096 Issued in FL
Legal business name
HQM OF FORT MYERS, LLC
Doing business as
Fort Myers Care & Rehabilitation Center
Practice address
13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone
(239) 482-2848
NPI assigned
May 20, 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
(561) 627-0664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1159096 FL Primary

Addresses

Primary practice location

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146

Mailing address

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

Other names 1

  • Fort Myers 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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346294766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13755 GOLF CLUB PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195146",
            "telephone_number": "239-482-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13755 GOLF CLUB PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195146",
            "telephone_number": "239-482-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF FORT MYERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "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": "SNF1159096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Myers Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

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.