HQM of Bracken County, Inc
Organization Active NPI Skilled Nursing Facility · Augusta, KY
NPI 1497734990 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1497734990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 100039 (KY)
- Legal business name
- HQM OF BRACKEN COUNTY, INC
- Practice address
- 5269 Asbury Rd
Augusta, KY 41002-9215 - Phone
- (606) 756-2156
- NPI assigned
- Jan 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Paul Walczak
- Title
- Ceo
- Phone
- (561) 627-0664
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100039 | KY | Yes |
Addresses
Primary practice location
5269 Asbury Rd
Augusta, KY 41002-9215
Mailing address
5269 Asbury Rd
Augusta, KY 41002-9215
Phone (606) 756-2156
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12504023 | Medicaid | KY |
Other names
- Bracken County Nursing & Rehabilitation Center
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All providers in Augusta, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.