Active NPI
Royal Westerly LLC
- Skilled Nursing Facility
- Westerly, RI
National Provider Identifier
1801247093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 66
- Chain
- Royal Health Group
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 41D0664446 | Royal Westerly, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| James S Mamary | 5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 50.02% |
| Operational/Managerial Control | Jul 1, 2016 | 100% | |
| Susan Misto | W-2 Managing Employee | Aug 4, 2020 | |
| Bulent Ozcakar | Contracted Managing Employee | Feb 20, 2024 | |
| James S Mamary | 5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 24.99% |
| Jonathan W Mamary | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.