NPIMap

Organization Active NPI

750 Woburn Street Operating Company, LLC

Doing business as Wilmington Health Care Center

  • Skilled Nursing Facility
  • Wilmington, MA
National Provider Identifier
1144229873
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0911 Issued in MA
Legal business name
750 WOBURN STREET OPERATING COMPANY, LLC
Doing business as
Wilmington Health Care Center
Practice address
750 Woburn Street
Wilmington, MA 01887
Phone
(978) 988-0888
Fax
(978) 658-6470
NPI assigned
Jul 15, 2005
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

750 Woburn Street
Wilmington, MA 01887

Mailing address

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

Other names 1

  • Wilmington Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144229873. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Care One at WilmingtonCCN 225504 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
132110.0 residents per day on average
Chain
Careone37 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0650129Wilmington Woods Health Care Center750 Woburn Street, Wilmington, MA 01887Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

750 Woburn St
Wilmington, MA 01887
Phone (781) 488-6843

Ownership & related parties

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

Facilities with the same owner 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1144229873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WOBURN STREET",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "01887",
            "telephone_number": "978-988-0888",
            "fax_number": "978-658-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WOBURN STREET",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "01887",
            "telephone_number": "978-988-0888",
            "fax_number": "978-658-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "750 WOBURN STREET OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "VP, SPECIAL PROJECTS",
        "authorized_official_telephone_number": "978-930-6051"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilmington Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, MA

Sources for this page

Verify at the official NPI Registry.