Active NPI
HQM of Winter Park, LLC
- Skilled Nursing Facility
- Winter Park, FL
National Provider Identifier
1891730198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF16110963
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.