NPIMap

Organization Active NPI

HQM of Bayside, LLC

Doing business as Bayside Care Center at Lexington Park

  • Skilled Nursing Facility
  • Lexington PK, MD
National Provider Identifier
1598745200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
18003 Issued in MD
Legal business name
HQM OF BAYSIDE, LLC
Doing business as
Bayside Care Center at Lexington Park
Practice address
21412 Great Mills Rd
Lexington PK, MD 20653-1203
Phone
(301) 863-7244
NPI assigned
Jan 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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 18003 MD Primary

Addresses

Primary practice location

21412 Great Mills Rd
Lexington PK, MD 20653-1203

Mailing address

21412 Great Mills Rd
Lexington PK, MD 20653-1203
Phone (301) 863-7244

Other names 1

  • Bayside Care Center at Lexington Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayside Care Center at Lexington Park2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598745200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21412 GREAT MILLS RD",
            "city": "LEXINGTON PK",
            "state": "MD",
            "postal_code": "206531203",
            "telephone_number": "301-863-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21412 GREAT MILLS RD",
            "city": "LEXINGTON PK",
            "state": "MD",
            "postal_code": "206531203",
            "telephone_number": "301-863-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF BAYSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "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": "MD",
            "license": "18003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Care Center at Lexington Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington PK, MD

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.