WILLOW MANOR NURSING HOME, INC. (NPI# 1114960515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114960515 |
| Entity Type | Organization |
| Organization Name | WILLOW MANOR NURSING HOME, INC. |
| Other Organization Name | WILLOW MANOR |
| Practice Address |
30 Princeton Blvd Lowell MA 01851-2405 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 9784548086 |
| Practice Fax Number | 9784539772 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0701 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEIGHBORHOOD HEALTH PLAN | 0018329 | 01 | |
| UNITED - EVERCARE | 71-00029 | 01 | |
| HARVARD PILGRIM | 903194 | 01 | |
| TUFTS | 802277 | 01 | |
| MA | BC/BS - OUTPATIENT REHAB | 2222551110 | 01 |
| MA | 0940330 | 05 | |
| MA | BC/BS | 2222551101 | 01 |
| FALLON | 31584 | 01 | |
| AETNA-HMO | 551976 | 01 |
| Other Name | Type Code |
|---|---|
| Willow Manor | Doing Business As Name - Organization |
| Street Address |
30 PRINCETON BLVD |
| City | LOWELL |
| State | MA |
| Zip Code | 01851-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831622380 | Jacqueline Ashley Cohen | Occupational Therapist | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2017-04-11 |
| 1992163927 | Brooke Jordan Stuart | Occupational Therapist | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2016-02-04 |
| 1023420023 | Devon Barry | Occupational Therapy Assistant | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2014-05-24 |
| 1881943280 | Kristin Laura Jauch | Speech-Language Pathologist | 30 Princeton Blvd, Lowell, MA 01851 | 2012-08-31 |
| 1508115015 | Kristen Abel | Occupational Therapist | 30 Princeton Blvd, Willow Manor Nursing Home, Lowell, MA 01852 | 2012-08-30 |
| 1699076398 | Lydia Johnson | Occupational Therapist | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2010-11-11 |
| 1538475678 | Jessica Elaine Wu | Speech-Language Pathologist | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2010-08-26 |
| 1083845200 | Jayne A Dusek | Occupational Therapy Assistant | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2009-08-05 |
| 1992934160 | Bonnie Gallant | Physical Therapy Assistant | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2009-07-09 |
| 1902035363 | Emily Ann Tyler | Speech-Language Pathologist | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2009-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508340233 | Tara D Gabriel | Social Worker | 130 Pine Street, Lowell, MA 01851 | 2018-09-19 |
| 1699257022 | Jennifer Walsh Favreau | Social Worker | 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 | 2018-09-01 |
| 1366951022 | Natalie V Lopez | Counselor | 507 Redwood Ln, Lowell, MA 01851 | 2017-09-26 |
| 1962929877 | Dependable Transportation Inc. | Non-emergency Medical Transport (VAN) | 45 Pratt Ave, Unit 4, Lowell, MA 01851 | 2017-08-23 |
| 1053851733 | Excel Dental, P.C. | Dentist | 158 Wood Street, Unit 3, Lowell, MA 01851 | 2017-03-01 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1689067407 | Craig David Milliken | Social Worker | 319 Wilder Street, Lowell, MA 01851 | 2015-03-18 |
| 1063801413 | Michael Bobola | Counselor | 22 Old Canal Drrive, Lowell, MA 01851 | 2015-01-22 |
| 1124422944 | Greater Lowell Private Nursing Services and Education | Home Health | 963 Chelmsford Street, Lowell, MA 01851 | 2014-10-22 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| Find all providers in zip 01851 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| 1952726663 | Hancock Regional Hospital | Skilled Nursing Facility | 18275 S Burr St, Lowell, IN 46356-0020 | 2014-03-04 |
| 1033486394 | Dyouville Transitional Care Inc | Skilled Nursing Facility | 1071 Varnum Ave, Lowell, MA 01854-1913 | 2011-11-30 |
| 1235298514 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 710 Michigan Ave, Lowell, IN 46356 | 2006-12-06 |
| 1588690366 | Town & Country Nursing Center | Skilled Nursing Facility | 259 Baldwin St, Lowell, MA 01851-2211 | 2006-06-24 |
| 1760426282 | Northwood Ma Snf LLC | Skilled Nursing Facility | 1010 Varnum Avenue, Lowell, MA 01854 | 2006-06-15 |
| 1487692927 | Asl, Inc. | Skilled Nursing Facility | 841 Merrimack St, Lowell, MA 01854-3500 | 2006-06-04 |
| 1639124308 | Laurel Health Care Company of Lowell | Skilled Nursing Facility | 350 N Center St, Lowell, MI 49331-1212 | 2006-05-23 |
| 1720037468 | Senior Residential Care/lowell, Inc. | Skilled Nursing Facility | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2006-05-09 |
| 1538159785 | 19 Varnum Street Operating Co,llc | Skilled Nursing Facility | 19 Varnum St, Lowell, MA 01850-2132 | 2005-10-27 |
| 1639166721 | Fairhaven Nursing | Skilled Nursing Facility | 476 Varnum Ave, Lowell, MA 01854-2122 | 2005-10-04 |
| Find all providers in LOWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.