Provider Demographics
NPI:1366311516
Name:BLUE HILL OPCO LLC
Entity type:Organization
Organization Name:BLUE HILL OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED SIGNER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SMILOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-543-4391
Mailing Address - Street 1:414 N WILLSON ST
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:NE
Mailing Address - Zip Code:68930-3561
Mailing Address - Country:US
Mailing Address - Phone:917-543-4391
Mailing Address - Fax:
Practice Address - Street 1:414 N WILLSON ST
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:NE
Practice Address - Zip Code:68930-3561
Practice Address - Country:US
Practice Address - Phone:402-756-2080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility