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Contact Information

HQM OF RIDGELY, LLC
117 MAIN STREET
RIDGELY, TN38080
 Phone: 731-264-5555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for HQM OF RIDGELY, LLC

NPI # 1942280649
LBN Legal business name HQM OF RIDGELY, LLC
Authorized official PAUL WALCZAK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
TN License # 0152
TN Medicaid 0445327
TN Medicaid 7440548
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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