175 Blueberry Lane Operations LLC
NPI 1720260557ActiveOrganization· Skilled Nursing Facility· Laconia, NH
Skilled Nursing Facility in Laconia, New Hampshire, registered in NPPES in December 2007. The authorized official on file is Michael T. Berg, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1720260557 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2007 |
| Last updated in NPPES | Jul 10, 2025 |
| Certified by provider | Jul 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 02297 | NH |
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) | Enrolled Part A Provider - Skilled Nursing Facility (NH) |
|---|
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