# HQM OF MONTEAGLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Bridge at Monteagle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811941230
- **Authorized official:** MR. PAUL WALCZAK (CEO)
- **Authorized official phone:** (561) 627-0664

## Contact information

- **Practice address:** 26 SECOND STREET, MONTEAGLE, TN 37356
- **Practice address phone:** (931) 924-2041
- **Mailing address:** 26 SECOND STREET, MONTEAGLE, TN 37356
- **Mailing address phone:** (931) 924-2041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0099 | TN | — |
| 314000000X | Skilled Nursing Facility | 0099 | TN | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445393 | — | TN |
| 05 | — | 7440422 | — | TN |
