HQM OF MONTEREY, LLC (NPI# 1326027798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326027798 |
Entity Type | Organization |
Organization Name | HQM OF MONTEREY, LLC |
Other Organization Name | STANDING STONE CARE & REHABILITATION CENTER |
Practice Address |
410 W Crawford Ave Monterey TN 38574-1122 |
Practice Telephone | 9318392244 |
Mailing Telephone | 9318392244 |
Enumeration Date | 2006-01-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. PAUL WALCZAK (CEO) |
Authorized Official Telephone | 5616270664 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 313M00000X | Nursing Facility/Intermediate Care Facility | 0207 | TN | Nursing & Custodial Care Facilities |
X | 314000000X | Skilled Nursing Facility | 0207 | TN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 0445363 | 05 | |
TN | 7440469 | 05 |
Other Name | Type Code |
---|---|
Standing Stone Care & Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
410 W CRAWFORD AVE |
City | MONTEREY |
State | TN |
Zip Code | 38574-1122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033594528 | Joseph J Baco | Physical Therapist | 410 W Crawford Ave, Monterey, TN 38574-1122 | 2015-07-24 |
1184959066 | Tia Criscoe | Registered Nurse | 410 W Crawford Ave, Monterey, TN 38574-1122 | 2009-10-09 |
1922299213 | Lp Monterey LLC | Skilled Nursing Facility | 410 W Crawford Ave, Monterey, TN 38574-1122 | 2007-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407012891 | Robert Crombie Hall | Ophthalmology | 1536 E. Overlook Rd., Monterey, TN 38574 | 2008-08-05 |
1164606356 | Manish Rana | Dentist | 400 West Crawford Avenue, Suite C, Montery Dental Center, Monterey, TN 38574 | 2007-12-24 |
1497877583 | Mark Anthony Sherfey | Internal Medicine | 4355 Hanging Lamb Hwy, Monterey, TN 38574 | 2007-04-06 |
1790814457 | Ree Rene Smith | Nurse Practitioner | 1021 East Commercial Avenue, Monterey, TN 38574 | 2007-03-05 |
1144217803 | Charles Gray Smith | Family Medicine | 400 W Crawford Ave, Monterey, TN 38574 | 2005-09-28 |
1902150030 | Freds Stores of Tennessee Inc | Pharmacy | 250 E. Stratton Ave., Monterey, TN 38574-1107 | 2012-10-26 |
1265580815 | Bishop Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 101 W Commercial Ave, Monterey, TN 38574-1107 | 2007-01-08 |
1912996067 | Putnam County Rural Health Clinic, Inc | Clinic/Center | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2005-10-20 |
1437525185 | Clifton Bishop | Pharmacist | 101 W Commercial Ave, Monterey, TN 38574-1107 | 2015-08-17 |
1902208903 | Live Well Medical Clinic & Spa | Clinic/Center | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2014-09-22 |
Find all providers in zip 38574 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922493592 | Oaktree Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 6500 Kirby Gate Cv, Memphis, TN 38119-8203 | 2015-04-01 |
1265779086 | White House Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 2871 Highway 31 W, White House, TN 37188-5226 | 2013-01-14 |
1912289208 | Sonja Teresa Dishman | Nursing Facility/Intermediate Care Facility | 521 Potter Rd, Jamestown, TN 38556-4120 | 2011-09-13 |
1427350123 | At Home Health Services, LLC | Nursing Facility/Intermediate Care Facility | 22 Monument Rd, Suite 100, Summertown, TN 38483-7644 | 2010-12-01 |
1811218324 | Christian Care Center of Rutherford County LLC | Nursing Facility/Intermediate Care Facility | 202 Enon Springs Road East, Smyrna, TN 37167 | 2010-06-18 |
1619296936 | Dr Casey Kim Pllc | Nursing Facility/Intermediate Care Facility | 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315 | 2010-05-26 |
1053556274 | Johnson City Health Property Investors, LLC | Nursing Facility/Intermediate Care Facility | 400 N Boone St, Johnson City, TN 37604-5635 | 2008-12-03 |
1598912537 | Agape Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 2020 Northpark, Suite 2f, Johnson City, TN 37604-3127 | 2008-08-21 |
1063614113 | Trina Wright | Nursing Facility/Intermediate Care Facility | 265 Margaret Cir, Mc Minnville, TN 37110-6815 | 2007-06-01 |
1841311404 | Ssc Newport Operating Company LLC | Nursing Facility/Intermediate Care Facility | 135 Generation Dr, Newport, TN 37821-8018 | 2007-04-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.