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
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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CMS ownership
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View all 39
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Rishi Likhi, M.D.
Internal Medicine Physician · Medford, MA · NPI 1497927388
-
Ankit Patel, M.D.
Internal Medicine Physician · Chelmsford, MA · NPI 1083096317
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
Rishi Likhi, M.D.
Internal Medicine Physician · Medford, MA · NPI 1497927388
-
Ankit Patel, M.D.
Internal Medicine Physician · Chelmsford, MA · NPI 1083096317
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 number | Laboratory | Certificate | Expires |
| 22D0650129 | Wilmington Woods Health Care Center 750 Woburn Street, Wilmington, MA 01887 | Certificate of waiver | Aug 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.
| Name | Role | Since | Share |
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 ID | State | Provider type | PAC ID | Details |
| O20030522000057 |
MA |
Part a Provider - Skilled Nursing Facility |
8921918384 |
Practice locations: Wilmington, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
| 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
| Identifier | Type | State | Issuer |
| 0926876 | Medicaid | MA | |
Other names
- Wilmington Health Care Center Doing business as
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.