NPIMap

Organization Active NPI

Regency House of Wallingford, Inc.

  • Skilled Nursing Facility
  • Wallingford, CT
National Provider Identifier
1528126232
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2072C Issued in CT
Legal business name
REGENCY HOUSE OF WALLINGFORD, INC.
Practice address
181 E Main St
Wallingford, CT 06492-3947
Phone
(203) 265-1661
Fax
(203) 265-7842
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mr. Paul Glass
Title
Director of Compliance
Phone
(203) 265-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2072C CT Primary

Addresses

Primary practice location

181 E Main St
Wallingford, CT 06492-3947

Mailing address

181 E Main St
Wallingford, CT 06492-3947
Phone (203) 265-1661

Other identifiers 1

IdentifierTypeStateIssuer
000009084MedicaidCT

Other names 1

  • Regency House Nursing and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907000284 CT Part A Provider - Skilled Nursing Facility 1850367301 Practice locations: Wallingford, CT

Skilled nursing facility certification: CCN 075261

Legal name
REGENCY HOUSE OF WALLINGFORD, INC.
Doing business as
REGENCY HOUSE NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1975
Last certification
Oct 10, 2023
Beds
130
Ownership / control type
Corporation
Multi-facility organization
National Health care associates
Organization structure
CorporationProprietary
Incorporated
Jun 1, 1999 in CT
Enrollment address
181E Main St
Wallingford, CT 06492-3947
Nursing home name
REGENCY HOUSE NURSING AND REHABILITATION CENTER
Affiliated entity
NATIONAL HEALTH CARE ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency House Nursing and Rehabilitation CenterCCN 075261
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130124.0 residents per day on average
Chain
National Health Care Associates42 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
07D0703832Regency House of Wallingford181 East Main Street, Wallingford, CT 06492Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Barry Bokow 2012 Family Trust Organization, Far Rockaway, NY 5% Or Greater Direct Ownership Interest Oct 1, 2021 10%
Marvin J. Ostreicher Individual 5% Or Greater Direct Ownership Interest Aug 29, 1990 67.5%
Corporate Director Sep 7, 2004
Agnes Zitter Individual 5% Or Greater Indirect Ownership Interest Sep 10, 2021 22.5%
Barry Bokow Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 10%
Corporate Director Sep 7, 2004
Senga Trust Organization, Lawrence, NY 5% Or Greater Direct Ownership Interest Sep 10, 2021 22.5%
David Bond Individual W-2 Managing EmployeeAdministrator Jul 1, 2015 100%

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1528126232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 E MAIN ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923947",
            "telephone_number": "203-265-1661",
            "fax_number": "203-265-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E MAIN ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923947",
            "telephone_number": "203-265-1661",
            "fax_number": "203-265-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOUSE OF WALLINGFORD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "203-265-1661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2072C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009084",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency House Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.