Healthcare Provider Details

I. General information

NPI: 1902723299
Provider Name (Legal Business Name): 8 COLONIAL DRIVE WESTBOROUGH OPERATOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 COLONIAL DR
WESTBOROUGH MA
01581-1407
US

IV. Provider business mailing address

290 CENTRAL AVE STE 107
LAWRENCE NY
11559-8507
US

V. Phone/Fax

Practice location:
  • Phone: 516-537-8689
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ARIEL ERLICHMAN
Title or Position: OWNER
Credential:
Phone: 516-537-8689