HQM of Monteagle, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0099 Issued in TN

Legal business name

HQM OF MONTEAGLE, LLC

Practice address

26 Second Street
Monteagle, TN 37356

Phone

(931) 924-2041

NPI assigned

May 20, 2006

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 2

Addresses

Other identifiers 2

Other names 1

• The Bridge at Monteagle Doing business as

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1811941230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SECOND STREET",
            "city": "MONTEAGLE",
            "state": "TN",
            "postal_code": "37356",
            "telephone_number": "931-924-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SECOND STREET",
            "city": "MONTEAGLE",
            "state": "TN",
            "postal_code": "37356",
            "telephone_number": "931-924-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF MONTEAGLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-09-11",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0099",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440422",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445393",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bridge at Monteagle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harold Geick
• Jesse B Goodman, PT, DPT
• Bobby James Grayson
• Janet Denise Harlow, LPE
• Hugh Edwin Hodges, D.V.M.
• Clifford Louis Huffman Jr., FNP-BC
• William Carl Kerstetter, LPC/MHSP
• Kenneth Gene Sebrero Lacandazo, PT
• LP Monteagle LLC
• Kenneth D Malhoit, DDS

• Skilled Nursing Facility in Monteagle, TN
• Providers in Monteagle, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.