HQM of Port Charlotte, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HQM OF PORT CHARLOTTE, LLC

Doing business as

HQM of Port Charlotte

Practice address

4033 Beaver LN
Port Charlotte, FL 33952-9206

Phone

(941) 625-3200

NPI assigned

Jul 8, 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 Port Charlotte Doing business as

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396778825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 BEAVER LN",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 BEAVER LN",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529206",
            "telephone_number": "941-625-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF PORT CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HQM of Port Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Howard F Saslow MD PA (West Coast Orthopaedic and Joint Center)
• Katlin Howard, FNP
• Victor Nick Howard, M.D.
• Linda Howell, CRNA
• Josie Hoyt
• John A Hubicki, PA
• Amanda K Huffman, APRN
• Candice Hull, PTA
• Robert Allen Hull, MD
• Hasan Saied Hulwi, M.D.

• Skilled Nursing Facility in Port Charlotte, FL
• Providers in Port Charlotte, 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.