Organization Active NPI

HQM of Rogersville, LLC

  • Skilled Nursing Facility
  • Rogersville, TN
National Provider Identifier
1952334492
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0124 Issued in TN
Legal business name
HQM OF ROGERSVILLE, LLC
Practice address
109 Highway 70 N
Rogersville, TN 37857-4001
Phone
(423) 272-3099
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0124 TN
Skilled Nursing Facility 314000000X 0124 TN Primary

Addresses

Primary practice location

109 Highway 70 N
Rogersville, TN 37857-4001

Mailing address

109 Highway 70 N
Rogersville, TN 37857-4001
Phone (423) 272-3099

Other identifiers 2

IdentifierTypeStateIssuer
7440320MedicaidTN
0445359MedicaidTN

Other names 1

  • Rogersville Care & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

109 Highway 70 N
Rogersville, TN 37857
Phone (423) 272-3099

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1952334492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HIGHWAY 70 N",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378574001",
            "telephone_number": "423-272-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HIGHWAY 70 N",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378574001",
            "telephone_number": "423-272-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF ROGERSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "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": "0124",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440320",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445359",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogersville Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogersville, TN

Sources for this page

  • 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.