HQM OF PINE RIDGE, LLC
NPI 1992784490
Nursing Facility/Intermediate Care Facility in Elizabethton, TN

Active since January 12, 2006
1200 SPRUCE LN, CARTER COUNTY, ELIZABETHTON, TN 37643(423) 543-3202 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Hqm Of Pine Ridge, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HQM OF PINE RIDGE, LLC (NPI 1992784490), doing business as Pine Ridge Care & Rehabilitation Center, is a healthcare organization registered as a nursing facility/intermediate care facility in Elizabethton, Tennessee and active in the NPI registry since January 2006. The organization lists Paul Walczak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992784490
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameHQM OF PINE RIDGE, LLC
Location Address1200 SPRUCE LN, CARTER COUNTYElizabethton, TN 37643-4301
Mailing Address1200 Spruce Ln, Carter CountyElizabethton, TN 37643-4301 · (423) 543-3202
Organization SubpartNo
Authorized OfficialPaul WalczakCeo · (561) 627-0664
Enumeration DateJanuary 12, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1992784490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License Licensed in TN · 0027
Definition
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.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 0027 (TN)

Other Names 1

Doing Business AsPine Ridge Care & Rehabilitation Center

Other Identifiers 2

Medicaid7440568TN
Medicaid0445217TN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1200 SPRUCE LN
ELIZABETHTON, TN 37643
Nursing Facility/Intermediate Care Facility
1200 SPRUCE LN
ELIZABETHTON, TN 37643
Nurse Practitioner
1200 SPRUCE LN
ELIZABETHTON, TN 37643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hqm Of Pine Ridge, LLC's NPI number?

The NPI number for Hqm Of Pine Ridge, LLC is 1992784490. It was assigned to this organization in the NPPES registry on January 12, 2006. The provider is doing business as Pine Ridge Care & Rehabilitation Center.

Where is Hqm Of Pine Ridge, LLC located?

Hqm Of Pine Ridge, LLC is located at 1200 Spruce Ln Carter County, Elizabethton, TN 37643. The listed phone number is (423) 543-3202.

What is Hqm Of Pine Ridge, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Hqm Of Pine Ridge, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.