30 Princeton Boulevard Operations LLC
Organization Active NPI Skilled Nursing Facility · Lowell, MA
NPI 1649452467 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1649452467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0701 (MA)
- Legal business name
- 30 PRINCETON BOULEVARD OPERATIONS LLC
- Practice address
- 30 Princeton Blvd
Lowell, MA 01851-2405 - Phone
- (978) 454-8086
- Fax
- (978) 453-9772
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael Berg
- Title
- Secretary
- Phone
- (610) 444-6350
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0701 | MA | Yes |
Addresses
Primary practice location
30 Princeton Blvd
Lowell, MA 01851-2405
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110089055A | Medicaid | MA |
Other names
- Willow Manor
Other providers in Lowell, MA
- 19 Varnum Street Operating Co,LLC
- 19 Varnum Street Operating Company, LLC
- 30 Princeton Opco LLC
- 841 Merrimack Street Operations LLC
- A & S Dental Wellness Center of Lowell, P. C.
- A1 Care Inc
- Rachelle Marcella Aaron
All providers in Lowell, MA · Skilled Nursing Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.