HQM of Bradenton

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1226095 Issued in FL

Legal business name

HQM OF BRADENTON

Doing business as

HQM of Bradenton, LLC

Practice address

2302 59TH St W
Bradenton, FL 34209-7018

Phone

(941) 792-8480

NPI assigned

Jan 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

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 1

Addresses

Other names 1

• HQM of Bradenton, LLC Doing business as

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396715983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097018",
            "telephone_number": "941-792-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097018",
            "telephone_number": "941-792-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF BRADENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "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": "SNF1226095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HQM of Bradenton, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Daniel Howard, DMD
• Luanne H. Howard, MS, RD, CDE, LDN
• Julina Howell, M.D.
• Michael Andrew Howell, MD
• Norman Scott Howell, DO
• HQM of Bradenton, LLC (Heritage Park Care & Rehabilitation Center)
• Dalibor Irwing Hradek, M.D.
• Tim Hsu
• Howie Hu
• Noah Huanay, PT, DPT

• Skilled Nursing Facility in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Skilled Nursing Facility in Florida

• 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.