Active NPIOrganization

175 Blueberry Lane Operations LLC

Skilled Nursing Facility in Laconia, New Hampshire

NPI Number1720260557
Practice location
175 Blueberry Ln, Laconia, NH 03246-2918
Fax
603-524-7049
Last updated
July 10, 2025

175 Blueberry Lane Operations LLC is a healthcare organization based in Laconia, NH. 175 Blueberry Lane Operations LLC practices in Laconia, NH. The NPI Number for 175 Blueberry Lane Operations LLC is 1720260557 and holds a License No. 02297 (NH). The current practice location address for 175 Blueberry Lane Operations LLC is 175 Blueberry Ln, Laconia, NH 03246-2918 and can be reached out via phone at 603-524-3340 and via fax at 603-524-7049.

Provider Profile Details

NPI Number
1720260557
Provider Name
175 Blueberry Lane Operations LLC
Provider Entity Type
Organization
Address
175 Blueberry Ln, Laconia, NH 03246-2918
Phone Number
603-524-3340
Fax Number
603-524-7049
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Michael T Berg · Secretary · 610-444-6350
Other Names
Laconia Rehab Center (Doing Business As)
Provider Enumeration Date
December 4, 2007
Last Update Date
July 10, 2025
Certification Date
July 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Blueberry Ln
Laconia, NH 03246-2918
Zip
03246-2918
Phone Number
603-524-3340
Fax Number
603-524-7049
Laconia, NH 03246Get directions →

Provider Business Mailing Address Details

Address
101 E State St
Kennett Square, PA 19348-3109
City
Kennett Square
State
PA
Zip
19348-3109
Phone Number
610-925-4436
Fax Number
610-925-4351

License Information

License Number
02297
License State
NH
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 Operations LLC?

The NPI number of 175 Blueberry Lane Operations LLC is 1720260557. It was assigned on December 4, 2007 and is currently active in the NPPES registry.

What is the specialty of 175 Blueberry Lane Operations LLC?

175 Blueberry Lane Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NH under license number 02297.

Where does 175 Blueberry Lane Operations LLC practice?

The practice location is 175 Blueberry Ln, Laconia, NH 03246-2918. The office can be reached at 603-524-3340 (phone) or 603-524-7049 (fax).

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 1720260557 directly on the NPPES registry website.

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