Organization Active NPI

Woburn Nursing Center, Inc

  • Skilled Nursing Facility
  • Woburn, MA
National Provider Identifier
1285638890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4213 Issued in MA
Legal business name
WOBURN NURSING CENTER, INC
Practice address
18 Frances St
Woburn, MA 01801-3006
Phone
(781) 933-8175
Fax
(781) 729-3817
NPI assigned
Jun 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Driscoll
Title
Chief Operating Officer
Phone
(781) 994-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4213 MA Primary

Addresses

Primary practice location

18 Frances St
Woburn, MA 01801-3006

Mailing address

18 Frances St
Woburn, MA 01801-3006
Phone (781) 933-8175

Other identifiers 5

IdentifierTypeStateIssuer
803059OtherMATUFTS/SECURE HORIZON
0906905MedicaidMA
903183OtherMAHARVARD PILGRIM HEALTH
2222539401OtherMABLUE CROSS BLUE SHIELD
552468OtherMAAETNA/ US HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120928000623 MA Part A Provider - Skilled Nursing Facility 9638328065 Practice locations: Woburn, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285638890. Details of each certification follow.

Skilled nursing facility certification: CCN 225394

Legal name
WOBURN NURSING CENTER INC
Doing business as
WOBURN REHABILITATION & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Jan 9, 2025
Beds
140
Ownership / control type
Corporation
Multi-facility organization
Stellar Health Group
Organization structure
CorporationProprietary
Incorporated
Nov 9, 1966 in MA
Enrollment address
18 Frances St
Woburn, MA 01801-3006
Nursing home name
WOBURN REHABILITATION AND NURSING CENTER
Affiliated entity
STELLAR HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woburn Rehabilitation and Nursing CenterCCN 225394 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 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
140105.8 residents per day on average
Chain
Stellar Health Group7 facilities in the chain
Penalties (3 years)
1Fines totaling $8,512

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
22D0071163Woburn Nursing Center18 Frances St, Woburn, MA 01801Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

18 Frances St
#3095
Woburn, MA 01801

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Boston Master Tenant LLC Organization, Winchester, MA Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%
Cheryl a Evangelista Individual W-2 Managing EmployeeExecutive Administrator Sep 11, 2000
Robert Francis Driscoll Individual Corporate OfficerCeo Aug 15, 2002
Barbara Johanson Individual W-2 Managing EmployeeDirector of Nursing Jun 22, 1998
Ariel T Erlichman Individual 5% Or Greater Indirect Ownership InterestManagerial Services Dec 29, 2021 100%
Corporate Officer Dec 29, 2021
Corporate Director Dec 29, 2021
Brian J Fin Individual Corporate DirectorBoard Member Mar 15, 1992
Daniel Burns Individual W-2 Managing EmployeeAdministrator Dec 29, 2021
Nicholas Pugliese Individual W-2 Managing Employee Dec 29, 2021
Woburn Operations LLC Organization, Woburn, MA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 29, 2021 100%

Facilities with the same owner 2

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

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 1

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285638890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FRANCES ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013006",
            "telephone_number": "781-933-8175",
            "fax_number": "781-729-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FRANCES ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013006",
            "telephone_number": "781-933-8175",
            "fax_number": "781-729-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOBURN NURSING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "781-994-2114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "4213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS/SECURE HORIZON",
            "identifier": "803059",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0906905",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "903183",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2222539401",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/ US HEALTHCARE",
            "identifier": "552468",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.