HQM of Pine Ridge, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0027 Issued in TN

Legal business name

HQM OF PINE RIDGE, LLC

Practice address

1200 Spruce LN
Carter County
Elizabethton, TN 37643-4301

Phone

(423) 543-3202

NPI assigned

Jan 12, 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 2

Addresses

Other identifiers 2

Other names 1

• Pine Ridge Care & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992784490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SPRUCE LN",
            "address_2": "CARTER COUNTY",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434301",
            "telephone_number": "423-543-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SPRUCE LN",
            "address_2": "CARTER COUNTY",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434301",
            "telephone_number": "423-543-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF PINE RIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "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": "0027",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440568",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445217",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Ridge Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth M Hopland, M.D.
• Emma Jeaneen Hughes Hopson II, BSN RN
• Victor W. Hopson, D.D.S.
• Mark Anthony Horn, LPTA
• Renee Ella Horton, DPH
• Jan E Hubbard, RN
• Carol Rene Huffman, FNP
• Michael A Hull, DMD
• Dora M Hutchens, O.T.R.,L.
• Austin Hutchins

• Nursing Facility/Intermediate Care Facility in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• 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.