Organization Active NPI

Royal Middletown Nursing Center LLC

  • Skilled Nursing Facility
  • Middletown, RI
National Provider Identifier
1447601638
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROYAL MIDDLETOWN NURSING CENTER LLC
Practice address
193 Forest Ave
Middletown, RI 02842-4625
Phone
(401) 847-2777
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Paula Reid
Title
Controller
Phone
(774) 763-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RI
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

193 Forest Ave
Middletown, RI 02842-4625

Mailing address

193 Forest Ave
Middletown, RI 02842-4625

Other practice location 1

191 Forest Ave
Middletown, RI 02842-7415
Phone (401) 847-2777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160829001341 RI Part A Provider - Skilled Nursing Facility 4284929357 Practice locations: Middletown, RI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447601638. Details of each certification follow.

Skilled nursing facility certification: CCN 415040

Legal name
ROYAL MIDDLETOWN NURSING CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 31, 1974
Last certification
Apr 2, 2025
Beds
50
Ownership / control type
Partnership
Multi-facility organization
Royal Health Group
Organization structure
LLCProprietary
Incorporated
Jan 14, 2016 in MA
Enrollment address
193 Forest Ave
Middletown, RI 02842-4625
Nursing home name
ROYAL MIDDLETOWN NURSING CENTER
Affiliated entity
ROYAL HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Royal Middletown Nursing CenterCCN 415040 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Mar 31, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5044.5 residents per day on average
Chain
Royal Health Group12 facilities in the chain
Penalties (3 years)
1Fines totaling $30,590

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
James S Mamary Individual 5% Or Greater Direct Ownership InterestManaging Member Jan 14, 2016 50.02%
Operational/Managerial ControlManaging Member Aug 19, 2016 100%
James S Mamary Individual 5% Or Greater Direct Ownership InterestExecutive Vice President Jan 14, 2016 24.99%
Jonathan W Mamary Individual 5% Or Greater Direct Ownership InterestMember Jan 14, 2016 24.99%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1447601638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 FOREST AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 FOREST AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424625",
            "telephone_number": "401-847-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028427415",
            "country_code": "US",
            "telephone_number": "401-847-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROYAL MIDDLETOWN NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "774-763-2700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.