Active NPI
Carleton-Willard Homes, Inc.
- Skilled Nursing Facility
- Bedford, MA
National Provider Identifier
1528067394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 870
- Legal business name
- CARLETON-WILLARD HOMES, INC.
- Practice address
- 100 Old Billerica Rd
Bedford, MA 01730-1267 - Phone
- (781) 275-8700
- Fax
- (781) 276-1988
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara A. Doyle
- Title
- Ceo
- Phone
- (781) 275-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 870 | MA | Primary |
Addresses
Primary practice location
100 Old Billerica Rd
Bedford, MA 01730-1267
Mailing address
100 Old Billerica Rd
Bedford, MA 01730-1267
Phone (781) 275-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0913138 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
Skilled nursing facility certification: CCN 225273
- Legal name
- CARLETON-WILLARD HOMES INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 13, 1983
- Last certification
- Feb 7, 2025
- Beds
- 179
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 23, 1980 in MA
- Enrollment address
- 100 Old Billerica Rd
Bedford, MA 01730-1267 - Nursing home name
- CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Carleton-Willard Village Retirement & Nursing Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 13, 1983
- Medicare certification status
- Active
- Certified beds
- 179
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Carleton Willard Villag
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Bedford, MA
- NPI 1639385073
Locations
100 Old Billerica Rd
Bedford, MA 01730
Phone (781) 275-8700
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Carleton-Willard Homes Inc | 5% Or Greater Direct Ownership Interest | Dec 23, 1980 | 100% |
| Michael Matthews | Corporate Officer | May 10, 2023 | |
| Adp of the SNF | May 10, 2023 | ||
| Lauren Mancini | Operational/Managerial Control | Mar 17, 2025 |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bedford, MA
- NPI 1043367030
-
- Family Nurse Practitioner
- Andover, MA
- NPI 1568065159
-
- Geriatric Medicine (Internal Medicine) Physician
- Cambridge, MA
- NPI 1659373033
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Cambridge, MA
- NPI 1659373033
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528067394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OLD BILLERICA RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301267",
"telephone_number": "781-275-8700",
"fax_number": "781-276-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OLD BILLERICA RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301267",
"telephone_number": "781-275-8700",
"fax_number": "781-276-1988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLETON-WILLARD HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "781-275-8700"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0913138",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.