Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hqm of Pine Ridge, LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1992784490

Hqm of Pine Ridge, LLC is a Nursing Facility/Intermediate Care Facility in Elizabethton, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Spruce Ln Carter County
Elizabethton, TN 37643-4301
Phone: (423) 543-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 0027 (TN)
Skilled Nursing Facility Taxonomy 314000000X · Licence 0027 (TN)

Record details

NPI number1992784490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Walczak — Ceo · (561) 627-0664
Other names Pine Ridge Care & Rehabilitation Center
NPI enumeratedJanuary 12, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1200 Spruce Ln, Carter County, Elizabethton, TN 37643-4301

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