HQM OF PIGEON FORGE, LLC (NPI# 1700866522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700866522 |
| Entity Type | Organization |
| Organization Name | HQM OF PIGEON FORGE, LLC |
| Other Organization Name | PIGEON FORGE CARE & REHABILITATION CENTER |
| Practice Address |
415 Cole Dr. Pigeon Forge TN 37863 |
| Practice Telephone | 8654285454 |
| Mailing Telephone | 8654285454 |
| Enumeration Date | 2006-01-18 |
| 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 | 0228 | TN | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 0228 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445382 | 05 | |
| TN | 7440466 | 05 |
| Other Name | Type Code |
|---|---|
| Pigeon Forge Care & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
415 COLE DR. |
| City | PIGEON FORGE |
| State | TN |
| Zip Code | 37863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271502 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 3064 Teaster Lane, Pigeon Forge, TN 37863 | 2019-12-05 |
| 1154720654 | Carissa Andres | Physical Medicine & Rehabilitation | 170 Community Center Drive, Pigeon Forge, TN 37863 | 2014-08-20 |
| 1639392129 | John D Mayberry | Marriage & Family Therapist | 3225 Gold Dust Dr, Pigeon Forge, TN 37863 | 2007-04-11 |
| 1306915327 | Summit Medical Group, Pllc | Family Medicine | 641middle Creek Road, Sevierville, TN 37863 | 2006-11-06 |
| 1295826048 | James David Garmany | Nurse Practitioner | 119 Sugarfoot Way, Pigeon Forge, TN 37863 | 2006-09-27 |
| 1528079746 | Ralph T Copenhaver | Dentist | 2610 Florence Drive, Pigeon Forge, TN 37863-3203 | 2006-08-11 |
| 1396849105 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2415 Parkway, Pigeon Forge, TN 37863-3228 | 2006-09-12 |
| 1407209000 | Urgent Care of The Smokies LLC | Clinic/Center | 2656 Parkway, Suite 4, Pigeon Forge, TN 37863-3246 | 2016-07-19 |
| 1639441397 | Caring Hearts and Hands of Tennessee, LLC | In Home Supportive Care | 226 Bellwood Ave, Pigeon Forge, TN 37863-3303 | 2012-01-27 |
| 1003910068 | Stewarts Drug Inc No 2 | Pharmacy | 3120 Parkway, Pigeon Forge, TN 37863-3310 | 2006-09-12 |
| Find all providers in zip 37863 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PIGEON FORGE |
| Zip Code | 37863 |
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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.