Organization Active NPI

HQM of Winter Park, LLC

  • Skilled Nursing Facility
  • Winter Park, FL
National Provider Identifier
1891730198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF16110963 Issued in FL
Legal business name
HQM OF WINTER PARK, LLC
Practice address
2970 Scarlet Rd
Winter Park, FL 32792-4399
Phone
(407) 671-8030
NPI assigned
Jun 19, 2006
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 SNF16110963 FL Primary

Addresses

Primary practice location

2970 Scarlet Rd
Winter Park, FL 32792-4399

Mailing address

2970 Scarlet Rd
Winter Park, FL 32792-4399
Phone (407) 671-8030

Other names 1

  • Winterpark Care & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891730198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 SCARLET RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924399",
            "telephone_number": "407-671-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 SCARLET RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924399",
            "telephone_number": "407-671-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF WINTER PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "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": "FL",
            "license": "SNF16110963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winterpark Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

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.