175 Blueberry Lane Opco, LLC
NPI 1205783842ActiveOrganization· Skilled Nursing Facility· Laconia, NH
Skilled Nursing Facility in Laconia, New Hampshire, registered in NPPES in March 2026. The authorized official on file is Avrohom Tress, Executive Vice President.
Overview
| NPI | 1205783842 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2026 |
| Last updated in NPPES | Oct 20, 2026 |
| Certified by provider | Oct 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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