Provider Demographics
NPI:1093249021
Name:BLACKHAWK HOLDINGS OPERATIONS NT-HCI LLC
Entity Type:Organization
Organization Name:BLACKHAWK HOLDINGS OPERATIONS NT-HCI LLC
Other - Org Name:BLACKHAWK ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL COUNSEL AND SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-547-2659
Mailing Address - Street 1:399 PARK AVE
Mailing Address - Street 2:FLOOR 18
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4614
Mailing Address - Country:US
Mailing Address - Phone:212-547-2659
Mailing Address - Fax:
Practice Address - Street 1:22550 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:KS
Practice Address - Zip Code:66083-8763
Practice Address - Country:US
Practice Address - Phone:913-592-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility