ROYAL MIDDLETOWN NURSING CENTER LLC

NPI 1447601638, organization, Middletown, RI, Skilled Nursing Facility

Evidence tier

network structure with a list link

Part of provider network D1-00123, ranked 123 nationally.

score 66 of 100, rank 1073, $816K at stake

Provider networks

D1-00123 ranked 123

75 providers around Chelsea, MA: 10 hospices, 7 home health agencies, 58 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ROYAL MIDDLETOWN NURSING CENTER LLC
Type	Organization
Status	Active
NPI issued	June 29, 2016, last updated March 17, 2018
Practice location	193 FOREST AVE, Middletown, RI 02842-4625, 401-847-2777
Authorized official	PAULA REID (Controller)
Specialties	Assisted Living Facility (310400000X) Skilled Nursing Facility (314000000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
T2031	Assisted living waiver per diem	$4.2M	100%	$2K	$2K (top 5% from $5K)	40th percentile

In this area

2 providers in Newport County, RI carry an indicator in the public record, with $177K at stake between them. The most common is part of a provider network, on 2 of them.

tier	provider	at stake	why
3	VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES Middletown, RI, ranked 1291	$177K	Part of provider network D1-00083, ranked 83 nationally.
3	JOHN CLARKE RETIREMENT CENTER Middletown, RI, ranked 4799	$0	Part of provider network D1-00083, ranked 83 nationally.

Recent enforcement in RI

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedJun 24, 2026

Two Charged in District of Rhode Island as Part of National Fraud Takedown

Two defendants were charged by indictment with using the identity of another person to obtain benefits, including approximately $28,236.42 and $24,018.86 in Rhode Island Medicaid benefits.

DOJOtherFeb 17, 2026

Zynex, Inc. Agrees to Criminal Resolution Addressing Claims of Millions of Dollars of Health Care Fraud, Securities Fraud and Related Offenses

Zynex admitted to submitting excessive and improper claims for medical devices and supplies, including medically unnecessary electrode supplies in excess quantities, to government and private health care payors and patients, and to concealing from investors that its revenues were driven by fraudulent billing.

DOJIndictedJan 21, 2026

Former Zynex, Inc. Executives Charged with Health Care and Securities Fraud and Related Offenses

The indictment alleges that from at least 2017 through late 2025 the former CEO and COO of Zynex, Inc. caused the company to submit fraudulent billings to government and private health care payors and patients for medical devices and supplies that were not medically necessary, not covered, and not agreed to by patients, and used those billings to inflate the company's financial reporting and stock price.

DOJIndictedApr 7, 2025

Pain Management Clinic Owners and Operators Indicted on Health Care Fraud Charges

The owners and operators of a pain management clinic allegedly submitted fraudulent claims to Medicare, Medicare Advantage, Medicaid Managed Care, and four private insurers for purportedly medically necessary services, including acupuncture, physical therapy, and office visits, that were not actually provided to patients, in order to collect payment for massage therapy and other services not provided.

DOJSentencedMar 5, 2025

Addiction Treatment Center Supervisor Sentenced in Scheme to Defraud Federal, State, and Private Health Care Insurers

A clinical social worker supervisor at an addiction treatment center devised and executed a scheme to submit false claims for 45-minute psychotherapy and counseling sessions that lasted only 5-10 minutes or did not occur as billed, defrauding Medicare, Medicaid, and other health insurers of more than $3.5 million.

Referral packet

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Ask this case

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