Organization Active NPI

Regal Care at Harwich LLC

  • Skilled Nursing Facility
  • Harwich, MA
National Provider Identifier
1427635622
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REGAL CARE AT HARWICH LLC
Practice address
111 Headwaters Dr
Harwich, MA 02645-1028
Phone
(508) 430-1717
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Eliyahu Mirlis
Title
Authorized Rep
Phone
(508) 430-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

111 Headwaters Dr
Harwich, MA 02645-1028

Mailing address

111 Headwaters Dr
Harwich, MA 02645-1028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519002760 MA Part A Provider - Skilled Nursing Facility 0547669723 Practice locations: Harwich, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427635622. Details of each certification follow.

Skilled nursing facility certification: CCN 225525

Legal name
REGALCARE AT HARWICH LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 11, 1990
Last certification
Aug 13, 2024
Beds
135
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
111 Headwaters Dr
Harwich, MA 02645-1028
Nursing home name
REGALCARE AT HARWICH
Affiliated entity
REGALCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regalcare at HarwichCCN 225525 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 11, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135106.9 residents per day on average
Chain
Regalcare9 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
22D0888812Regalcare at Harwich111 Headwaters Drive, Harwich, MA 02645Certificate of waiverJul 13, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Regalcare at Harwich Holdings LLC Organization, Edison, NJ LLC 5% Or Greater Direct Ownership Interest Apr 9, 2021 100%
Eliyahu Mirlis Individual 5% Or Greater Indirect Ownership InterestOwner Apr 9, 2021 100%
Corporate Director Apr 9, 2021
W-2 Managing Employee Apr 9, 2021

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1427635622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEADWATERS DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026451028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HEADWATERS DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026451028",
            "telephone_number": "508-430-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL CARE AT HARWICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MIRLIS",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "508-430-1717"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich, MA

Sources for this page

Verify at the official NPI Registry.