30 PRINCETON BOULEVARD OPERATIONS LLC
NPI 1649452467
Skilled Nursing Facility in Lowell, MA

Active since December 04, 2007
30 PRINCETON BLVD, LOWELL, MA 01851(978) 454-8086(978) 453-9772 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 30 Princeton Boulevard Operations Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

30 PRINCETON BOULEVARD OPERATIONS LLC (NPI 1649452467), doing business as Willow Manor, is a healthcare organization registered as a skilled nursing facility in Lowell, Massachusetts and active in the NPI registry since December 2007. The organization lists Michael Berg, Secretary, as its authorized official.

NPPES Registry Identity

NPI1649452467
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name30 PRINCETON BOULEVARD OPERATIONS LLC
Location Address30 PRINCETON BLVDLowell, MA 01851-2405
Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 925-4351
Fax(978) 453-9772
Organization SubpartNo
Authorized OfficialMichael BergSecretary · (610) 444-6350
Enumeration DateDecember 4, 2007
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1649452467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MA · 0701
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
30 PRINCETON BLVD, Lowell, MA 01851

Other Names 1

Doing Business AsWillow Manor

Other Identifiers 1

Medicaid110089055AMA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
30 PRINCETON BLVD
LOWELL, MA 01851
Physical Therapy Assistant
30 PRINCETON BLVD
LOWELL, MA 01851
Occupational Therapy Assistant
30 PRINCETON BLVD
LOWELL, MA 01851
Occupational Therapist
30 PRINCETON BLVD
LOWELL, MA 01851
Skilled Nursing Facility
30 PRINCETON BLVD
LOWELL, MA 01851
Occupational Therapy Assistant
30 PRINCETON BLVD
LOWELL, MA 01851
Occupational Therapist
30 PRINCETON BLVD
LOWELL, MA 01851
Physical Therapy Assistant
30 PRINCETON BLVD
LOWELL, MA 01851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 30 Princeton Boulevard Operations LLC's NPI number?

The NPI number for 30 Princeton Boulevard Operations LLC is 1649452467. It was assigned to this organization in the NPPES registry on December 4, 2007. The provider is doing business as Willow Manor.

Where is 30 Princeton Boulevard Operations LLC located?

30 Princeton Boulevard Operations LLC is located at 30 Princeton Blvd, Lowell, MA 01851. The listed phone number is (978) 454-8086.

What is 30 Princeton Boulevard Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for 30 Princeton Boulevard Operations LLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.