HQM of Lexington, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HQM OF LEXINGTON, LLC

Practice address

3300 Tates Creek Rd
Fayette County
Lexington, KY 40502-3408

Phone

(859) 266-2126

NPI assigned

Jul 8, 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

• Mayfair Manor Doing business as

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902839434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TATES CREEK RD",
            "address_2": "FAYETTE COUNTY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TATES CREEK RD",
            "address_2": "FAYETTE COUNTY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023408",
            "telephone_number": "859-266-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF LEXINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504353",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfair Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Michelle Howerton
• Gavin Taylor Howington, PHARMD
• Rosalyn Rae Howlett
• Rebecca M Howton, LCSW
• Danielle Howze
• Matthew Aaron Hronec, CRNA
• Cindy Kai-Yi Hsieh Melton, CRNA
• HSP Enterprises LLC
• Kevin Shiuan-How Hsu, MD
• Rebecca Hsu, PT

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