Active NPI
Regal Care at Harwich LLC
- Skilled Nursing Facility
- Harwich, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Harwich
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 11, 1990
- Medicare certification status
- Active
- Certified beds
- 135
- Chain
- Regalcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0888812 | Regalcare at Harwich | Certificate of waiver | Jul 13, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Regalcare at Harwich Holdings LLC | 5% Or Greater Direct Ownership Interest | Apr 9, 2021 | 100% |
| Eliyahu Mirlis | 5% Or Greater Indirect Ownership Interest | 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.
-
- Family Medicine Physician
- Brewster, MA
- NPI 1154431609
-
- Geriatric Medicine (Internal Medicine) Physician
- New Bedford, MA
- NPI 1093876906
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- New Bedford, MA
- NPI 1093876906
Nursing home
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
- Pleasant Lake Urgent Care LLC (Pleasant lake urgent care)
- Prism Medical Associates,LLC
- Mary Peyton Provenzano, PT
- Robert E. Reed Jr., PT
- Marilyn Hyland Reedy, LMHC
- Richard a. Weiler, Jr., D.D.S. and Associates, P.C.
- Deborah McGrath Riley, RN
- Robert Malin MD PC (Nauset Testing)
- Mary Romeyn, M.D.
- Eldad Rosenthal, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.