John Clarke Retirement Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00634 Issued in RI

Legal business name

JOHN CLARKE RETIREMENT CENTER

Doing business as

John Clarke Senior Living

Practice address

600 Valley Rd
Middletown, RI 02842-7014

Phone

(401) 846-0743

Fax

(401) 848-5890

NPI assigned

Aug 27, 2006

Last updated

Jun 1, 2023By 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

Joan M. Woods, LNHA

Title

Chief Executive Officer

Phone

(401) 324-5424

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John Clarke Senior Living Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144338476. Details of each certification follow.

• CCN 415076 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 415076

Legal name

JOHN CLARKE RETIREMENT CENTER

Doing business as

JOHN CLARKE SENIOR LIVING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1982

Last certification

Feb 26, 2025

Beds

60

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 12, 1979 in RI

Enrollment address

600 Valley Rd
Middletown, RI 02842-7029

Nursing home name

JOHN CLARKE SENIOR LIVING

Listed as

John Clarke Senior LivingCCN 415076 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Oct 1, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6054.0 residents per day on average

Penalties (3 years)

1Fines totaling $14,385

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

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 1

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

• Shahzad Khurshid, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1881754281

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Vera A. Depalo, MD

  • Pulmonary Disease Physician
  • Cranston, RI
  • NPI 1659354546

  Nursing home

  Care Compare affiliation
• Neima Hadi, M.D.

  • Internal Medicine Physician
  • Wakefield, RI
  • NPI 1740638881

  Nursing home

  Care Compare affiliation
• Shahzad Khurshid, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1881754281

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1144338476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427014",
            "telephone_number": "401-846-0743",
            "fax_number": "401-848-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427014",
            "telephone_number": "401-846-0743",
            "fax_number": "401-848-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CLARKE RETIREMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "401-324-5424",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105076",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Clarke Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dean R Janssen, DC
• Nancy L Jasper, LICSW
• Jason Jenkins
• Linda T Jenkins, LICSW
• JMZ Physical Therapy LLC
• Elizabeth Jean Jones
• Geoffrey George Jones, DMD
• Margot Jones, OTR/L
• Jade Marie Jordan
• Alicia N Justus, PH.D.

• Skilled Nursing Facility in Middletown, RI
• Providers in Middletown, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.