Organization Active NPI

Royal Westerly LLC

  • Skilled Nursing Facility
  • Westerly, RI
National Provider Identifier
1801247093
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROYAL WESTERLY LLC
Practice address
79 Beach St
Westerly, RI 02891-2717
Phone
(401) 596-4925
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

79 Beach St
Westerly, RI 02891-2717

Mailing address

79 Beach St
Westerly, RI 02891-2717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160816000093 RI Part A Provider - Skilled Nursing Facility 1850685785 Practice locations: Westerly, RI

Skilled nursing facility certification: CCN 415004

Legal name
ROYAL WESTERLY LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Dec 5, 2024
Beds
66
Ownership / control type
Partnership
Multi-facility organization
Royal Health Group
Organization structure
LLCProprietary
Incorporated
Oct 26, 2015 in MA
Enrollment address
79 Beach St
Westerly, RI 02891-2717
Nursing home name
ROYAL OF WESTERLY NURSING CENTER
Affiliated entity
ROYAL HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Royal of Westerly Nursing CenterCCN 415004 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6661.1 residents per day on average
Chain
Royal Health Group12 facilities in the chain
Penalties (3 years)
1Fines totaling $8,647

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
41D0664446Royal Westerly, LLC79 Beach St, Westerly, RI 02891Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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 Interest Jul 1, 2016 50.02%
Operational/Managerial ControlManaging Member Jul 1, 2016 100%
Susan Misto Individual W-2 Managing EmployeeAd; Aug 4, 2020
Bulent Ozcakar Individual Contracted Managing EmployeeMD; Feb 20, 2024
James S Mamary Individual 5% Or Greater Direct Ownership Interest Jul 1, 2016 24.99%
Jonathan W Mamary Individual 5% Or Greater Direct Ownership Interest Jul 1, 2016 24.99%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1467158400000",
    "number": "1801247093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912717",
            "telephone_number": "401-596-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL WESTERLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.