Regency Care of Arlington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2655 Issued in VA

Legal business name

REGENCY CARE OF ARLINGTON LLC

Practice address

1785 S Hayes St
Arlington, VA 22202-2714

Phone

(703) 920-5700

Fax

(703) 979-8190

NPI assigned

Oct 6, 2014

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven D Womack

Title

Ceo/Managing Member

Phone

(828) 381-5360

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710380670. Details of each certification follow.

• CCN 495114 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 495114

Legal name

REGENCY CARE OF ARLINGTON LLC

Doing business as

REGENCY CARE OF ARLINGTON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 23, 1978

Last certification

Jul 12, 2023

Beds

240

Ownership / control type

Individual

Most recent change of ownership

Mar 1, 2015

Organization structure

LLCProprietary

Enrollment address

1785 S Hayes Street
Regency Care of Arlington
Arlington, VA 22202-2714

Nursing home name

REGENCY CARE OF ARLINGTON, LLC

Affiliated entity

REGENCY CARE

Listed as

Regency Care of Arlington, LLCCCN 495114 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Oct 23, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

240158.0 residents per day on average

Chain

Regency Care2 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

1785 South Hayes Street Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 1785 South Hayes Street Operations LLC

  dba Potomac Center

  • Skilled Nursing Facility
  • Arlington, VA
  • NPI 1437330958
  NPD tax ID

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.

Practitioners 1

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.

• Ahmed Elebiary, M.D.

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1659719227
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Zelalem Ashiny, MD

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1922172873

  Nursing home

  Care Compare affiliation
• Ahmed Elebiary, M.D.

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1659719227

  Nursing home

  Care Compare affiliation
• Rashid Nayyar, M.D.

  • Pulmonary Disease Physician
  • Alexandria, VA
  • NPI 1336212141

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1710380670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1667",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031667",
            "telephone_number": "828-324-8898",
            "fax_number": "828-322-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 S HAYES ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022714",
            "telephone_number": "703-920-5700",
            "fax_number": "703-979-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY CARE OF ARLINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "828-381-5360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710380670",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495114",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE FACILITY LICENSE NUMBER",
            "identifier": "NH2655",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernardine Fanizza Reed, MSOTR/L
• Cristin Raye Reed, PT DPT
• Madison Marie Reeder, B.S., R.D.N.
• David J. Reese, M.D.
• Jessica Reeve
• Janet F Regier, M.D.
• Sonia Rehman, PHD
• Tahira Rehman, MSW
• Karen Reich
• Bellisa Reichelt, MSW, LMSW, QMHP-A

• Skilled Nursing Facility in Arlington, VA
• Providers in Arlington, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.

Verify at the official NPI Registry.