HQM of Trimble County, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100506 Issued in KY

Legal business name

HQM OF TRIMBLE COUNTY, INC.

Doing business as

Bedford Health Care Center

Practice address

50 Shepherd LN
Trimble County
Bedford, KY 40006-8809

Phone

(502) 255-3244

NPI assigned

Jan 12, 2006

Last updated

Feb 24, 2009By 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 identifiers 1

Other names 1

• Bedford Health Care Center Doing business as

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1629057138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SHEPHERD LN",
            "address_2": "TRIMBLE COUNTY",
            "city": "BEDFORD",
            "state": "KY",
            "postal_code": "400068809",
            "telephone_number": "502-255-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SHEPHERD LN",
            "address_2": "TRIMBLE COUNTY",
            "city": "BEDFORD",
            "state": "KY",
            "postal_code": "400068809",
            "telephone_number": "502-255-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF TRIMBLE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2009-02-24",
        "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": "100506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504007",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Elizabeth Edwards, PA-C
• Sandra Evans
• First You Medical Center PLLC
• First You Physician House Calls PSC
• Anita Hart
• LP Bedford LLC (Signature HealthCARE of Trimble County)
• Casey Meyer, APRN
• North Central District Health Dept (Trimble County High School Satellite Clinic)
• North Central District Health Dept. (Trimble County Health Dept.)
• Robert Yowler (Morgan Drug Store)

• Skilled Nursing Facility in Bedford, KY
• Providers in Bedford, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.