750 Woburn Street Operating Company, LLC

Organization Active NPI Skilled Nursing Facility · Wilmington, MA

NPI 1144229873 · NPPES record last updated Dec 15, 2023

Key facts

NPI
1144229873
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
0911 (MA)
Legal business name
750 WOBURN STREET OPERATING COMPANY, LLC
Practice address
750 Woburn Street
Wilmington, MA 01887
Phone
(978) 988-0888
Fax
(978) 658-6470
NPI assigned
Jul 15, 2005
Organization subpart
No

Authorized official

Name
Emily Vazquez
Title
VP, Special Projects
Phone
(978) 930-6051

Facilities with the same owner 39

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 39

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
Care One at Wilmington CCN 225504
Overall star rating
★★★★★ 5 of 5
Health inspections
★★★★★ 5 of 5
Staffing
★★★☆☆ 3 of 5
Quality measures
★★★★★ 5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1990
Medicare certification status
Active (Provider of Services file)
Certified beds
132 · 110.0 residents per day on average
Chain
Careone (37 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0650129Wilmington Woods Health Care Center
750 Woburn Street, Wilmington, MA 01887
Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Skilled nursing facility certification: CCN 225504

Legal name
750 WOBURN STREET OPERATING COMPANY, LLC
Doing business as
CARE ONE AT WILMINGTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Jul 31, 2024
Beds
132
Ownership / control type
Corporation
Multi-facility organization
Care One
Organization structure
LLC · Proprietary
Incorporated
Jan 10, 2003 in DE
Enrollment address
750 Woburn Street
Care One at Wilmington
Wilmington, MA 01887-3480
Nursing home name
CARE ONE AT WILMINGTON
Affiliated entity
CAREONE

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Healthbridge Management LLC
Organization · Fort Lee, NJ
For-profit
Operational/Managerial Control Jul 1, 2003
David Baruch
Individual
Corporate Officer Dec 1, 2021
W-2 Managing Employee Dec 1, 2021
Care Realty, LLC
Organization · Fort Lee, NJ
For-profit
5% Or Greater Indirect Ownership Interest Apr 30, 2002
Thci of Massachusetts, LLC
Organization · Fort Lee, NJ
For-profit
5% Or Greater Direct Ownership Interest Jul 1, 2003
Daniel E Straus
Individual
5% Or Greater Indirect Ownership Interest Jul 1, 2003
Des-I 2016 Grat
Organization · Fort Lee, NJ
5% Or Greater Indirect Ownership Interest Dec 1, 2021
Moshael Straus
Individual
5% Or Greater Indirect Ownership Interest Jul 1, 2003

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030522000057 MA Part a Provider - Skilled Nursing Facility 8921918384 Practice locations: Wilmington, MA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0911 MA Yes

Addresses

Primary practice location

750 Woburn Street
Wilmington, MA 01887

Mailing address

750 Woburn Street
Wilmington, MA 01887
Phone (978) 988-0888

Other identifiers

IdentifierTypeStateIssuer
0926876MedicaidMA

Other names

  • Wilmington Health Care Center Doing business as

Other providers in Wilmington, MA

All providers in Wilmington, MA · Skilled Nursing Facility in Massachusetts

Sources for this page

Verify at the official NPI Registry.