Active NPIOrganization

175 Blueberry Lane Opco, LLC

Skilled Nursing Facility in Laconia, New Hampshire

NPI Number1205783842
Practice location
175 Blueberry Ln, Laconia, NH 03246-2918
Fax
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Last updated
October 20, 2026

175 Blueberry Lane Opco, LLC is a healthcare organization based in Laconia, NH. 175 Blueberry Lane Opco, LLC practices in Laconia, NH. The NPI Number for 175 Blueberry Lane Opco, LLC is 1205783842. The current practice location address for 175 Blueberry Lane Opco, LLC is 175 Blueberry Ln, Laconia, NH 03246-2918 and can be reached out via phone at 323-928-9445.

Provider Profile Details

NPI Number
1205783842
Provider Name
175 Blueberry Lane Opco, LLC
Provider Entity Type
Organization
Address
175 Blueberry Ln, Laconia, NH 03246-2918
Phone Number
323-928-9445
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Avrohom Tress · Executive Vice President · 323-928-9445
Other Names
Laconia Post Acute (Doing Business As)
Provider Enumeration Date
March 12, 2026
Last Update Date
October 20, 2026
Certification Date
October 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Blueberry Ln
Laconia, NH 03246-2918
Zip
03246-2918
Phone Number
323-928-9445
Laconia, NH 03246Get directions →

Provider Business Mailing Address Details

Address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
City
Los Angeles
State
CA
Zip
90035-1202

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 175 Blueberry Lane Opco, LLC?

The NPI number of 175 Blueberry Lane Opco, LLC is 1205783842. It was assigned on March 12, 2026 and is currently active in the NPPES registry.

What is the specialty of 175 Blueberry Lane Opco, LLC?

175 Blueberry Lane Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 175 Blueberry Lane Opco, LLC practice?

The practice location is 175 Blueberry Ln, Laconia, NH 03246-2918. The office can be reached at 323-928-9445 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205783842 directly on the NPPES registry website.

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