NPIMap

Organization Active NPI

Colonial Health Group-Westridge, LLC

Doing business as Marlborough Hills Healthcare Center

  • Skilled Nursing Facility
  • Marlborough, MA
National Provider Identifier
1457348500
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0376 Issued in MA
Legal business name
COLONIAL HEALTH GROUP-WESTRIDGE, LLC
Doing business as
Marlborough Hills Healthcare Center
Practice address
121 Northboro Rd E
Marlborough, MA 01752-1844
Phone
(508) 485-4040
Fax
(508) 481-5585
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Laura McDonnell
Title
Corporate Business Office Manager
Phone
(978) 420-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0376 MA Primary

Addresses

Primary practice location

121 Northboro Rd E
Marlborough, MA 01752-1844

Mailing address

121 Northboro Rd E
Marlborough, MA 01752-1844
Phone (508) 485-4040

Other identifiers 1

IdentifierTypeStateIssuer
0928976MedicaidMA

Other names 1

  • Marlborough Hills Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colonial Health Group-Westridge LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Northboro Rd E
Marlborough, MA 01752
Phone (508) 485-4040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1457348500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NORTHBORO RD E",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521844",
            "telephone_number": "508-485-4040",
            "fax_number": "508-481-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NORTHBORO RD E",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521844",
            "telephone_number": "508-485-4040",
            "fax_number": "508-481-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HEALTH GROUP-WESTRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CORPORATE BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "978-420-1500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928976",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marlborough Hills Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.