Provider Demographics
NPI:1225139678
Name:AHNH LLC
Entity Type:Organization
Organization Name:AHNH LLC
Other - Org Name:JULIE BLAIR NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEOPARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-449-1100
Mailing Address - Street 1:325 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-1001
Mailing Address - Country:US
Mailing Address - Phone:518-449-1100
Mailing Address - Fax:
Practice Address - Street 1:325 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204-1001
Practice Address - Country:US
Practice Address - Phone:518-449-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01907877Medicaid
NY335812Medicare ID - Type Unspecified