Regalcare at Prospect LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGALCARE AT PROSPECT LLC

Practice address

177 Whitewood Rd
Waterbury, CT 06708-1545

Phone

(203) 707-5800

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Eliyahu Mirlis

Title

Member

Phone

(203) 707-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1407214265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WHITEWOOD RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 WHITEWOOD RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081545",
            "telephone_number": "203-707-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGALCARE AT PROSPECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "MIRLIS",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-707-5800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.