30 Princeton Boulevard Operations LLC
Skilled Nursing Facility in Lowell, Massachusetts
1649452467- Practice location
- 30 Princeton Blvd, Lowell, MA 01851-2405
- Phone
- 978-454-8086
- Fax
- 978-453-9772
- Last updated
- October 6, 2025
30 Princeton Boulevard Operations LLC is a healthcare organization based in Lowell, MA. 30 Princeton Boulevard Operations LLC practices in Lowell, MA. The NPI Number for 30 Princeton Boulevard Operations LLC is 1649452467 and holds a License No. 0701 (MA). The current practice location address for 30 Princeton Boulevard Operations LLC is 30 Princeton Blvd, Lowell, MA 01851-2405 and can be reached out via phone at 978-454-8086 and via fax at 978-453-9772.
Provider Profile Details
- NPI Number
- 1649452467
- Provider Name
- 30 Princeton Boulevard Operations LLC
- Provider Entity Type
- Organization
- Address
- 30 Princeton Blvd, Lowell, MA 01851-2405
- Phone Number
- 978-454-8086
- Fax Number
- 978-453-9772
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Michael Berg · Secretary · 610-444-6350
- Other Names
- Willow Manor (Doing Business As)
- Provider Enumeration Date
- December 4, 2007
- Last Update Date
- October 6, 2025
- Certification Date
- October 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Princeton Blvd
Lowell, MA 01851-2405 - City
- Lowell
- State
- Massachusetts
- Zip
- 01851-2405
- Phone Number
- 978-454-8086
- Fax Number
- 978-453-9772
Provider Business Mailing Address Details
- Address
- 101 E State St
Kennett Square, PA 19348-3109 - City
- Kennett Square
- State
- PA
- Zip
- 19348-3109
- Phone Number
- 610-925-4436
- Fax Number
- 610-925-4351
License Information
- License Number
- 0701
- License State
- MA
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 30 Princeton Boulevard Operations LLC?
The NPI number of 30 Princeton Boulevard Operations LLC is 1649452467. It was assigned on December 4, 2007 and is currently active in the NPPES registry.
What is the specialty of 30 Princeton Boulevard Operations LLC?
30 Princeton Boulevard Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0701.
Where does 30 Princeton Boulevard Operations LLC practice?
The practice location is 30 Princeton Blvd, Lowell, MA 01851-2405. The office can be reached at 978-454-8086 (phone) or 978-453-9772 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649452467 directly on the NPPES registry website.