Active NPI
HQM of Pikeville, LLC
Doing business as Pikeville Health Care Center
- Skilled Nursing Facility
- Pikeville, KY
National Provider Identifier
1578542023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100367
- Legal business name
- HQM OF PIKEVILLE, LLC
- Doing business as
- Pikeville Health Care Center
- Practice address
- 260 S Mayo TRL
Pikeville, KY 41501-1520 - Phone
- (606) 437-7327
- NPI assigned
- Jan 12, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100367 | KY | Primary |
Addresses
Primary practice location
260 S Mayo TRL
Pikeville, KY 41501-1520
Mailing address
260 S Mayo TRL
Pikeville, KY 41501-1520
Phone (606) 437-7327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12504593 | Medicaid | KY |
Other names 1
- Pikeville Health Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578542023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S MAYO TRL",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011520",
"telephone_number": "606-437-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S MAYO TRL",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011520",
"telephone_number": "606-437-7327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HQM OF PIKEVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-12",
"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": "KY",
"license": "100367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12504593",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pikeville Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pikeville, KY
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.