NPIMap

Organization Active NPI

120 Murray Opco LLC

  • Skilled Nursing Facility
  • Medford, MA
National Provider Identifier
1407613938
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
120 MURRAY OPCO LLC
Practice address
120 Murray St
Medford, MA 02155-1300
Phone
(781) 391-0800
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Eliyahu Mirlis
Title
Owner
Phone
(732) 961-8491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

120 Murray St
Medford, MA 02155-1300

Mailing address

120 Murray St
Medford, MA 02155-1300
Phone (781) 391-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240620002324 MA Part A Provider - Skilled Nursing Facility 5395288229 Practice locations: Medford, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407613938. Details of each certification follow.

Skilled nursing facility certification: CCN 225523

Legal name
120 MURRAY OPCO LLC
Doing business as
REGALCARE AT GLEN RIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 16, 1990
Last certification
Aug 12, 2024
Beds
164
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
120 Murray St
Medford, MA 02155-1300
Nursing home name
REGALCARE AT GLEN RIDGE
Affiliated entity
REGALCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regalcare at Glen RidgeCCN 225523 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 16, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
164129.8 residents per day on average
Chain
Regalcare9 facilities in the chain
Penalties (3 years)
3Fines totaling $286,020

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Christine Keenan Individual Contracted Managing EmployeeAd; May 1, 2024
Saied Elmi Individual Contracted Managing EmployeeMD; May 1, 2024
Eliyahu Mirlis Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2024 99%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

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 3

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1407613938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MURRAY ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551300",
            "telephone_number": "781-391-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MURRAY ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551300",
            "telephone_number": "781-391-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "120 MURRAY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "MIRLIS",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-961-8491"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.