Active NPI
HQM of Rogersville, LLC
- Skilled Nursing Facility
- Rogersville, TN
National Provider Identifier
1952334492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0124
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440320 | Medicaid | TN | |
| 0445359 | Medicaid | TN |
Other names 1
- Rogersville Care & Rehabilitation Center
National Provider Directory
National Provider DirectoryLocations
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.