HQM of Prestonsburg, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100126 Issued in KY

Legal business name

HQM OF PRESTONSBURG, LLC

Practice address

147 N Highland Ave
Prestonsburg, KY 41653-7748

Phone

(606) 886-2378

NPI assigned

Jan 12, 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 1

Addresses

Other identifiers 1

Other names 1

• Prestonsburg 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": "1598054400000",
    "number": "1821077389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N HIGHLAND AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416537748",
            "telephone_number": "606-886-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N HIGHLAND AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416537748",
            "telephone_number": "606-886-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF PRESTONSBURG, 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": "100126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504585",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestonsburg Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christan Howell
• Emily Howell
• Jamie Howell, MAT, TCADC
• Misti Howell
• Misty Howell
• HQM of Riverview, LLC
• John Hubbard
• Tyler Hubbard
• Emily Huddleston
• Brittani Hudson, PERSP

• Skilled Nursing Facility in Prestonsburg, KY
• Providers in Prestonsburg, 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 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.