Active NPI
Alpine Nursing Home Inc
- Skilled Nursing Facility
- Coventry, RI
National Provider Identifier
1316915580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 689
- Legal business name
- ALPINE NURSING HOME INC
- Practice address
- 557 Weaver Hill Rd
Coventry, RI 02816-4654 - Phone
- (401) 397-5001
- NPI assigned
- Mar 14, 2006
- 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
- Mr. Rodney Gauvin
- Title
- Administrator
- Phone
- (401) 397-5001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 689 | RI | Primary |
Addresses
Primary practice location
557 Weaver Hill Rd
Coventry, RI 02816-4654
Mailing address
557 Weaver Hill Rd
PO Box 457
Coventry, RI 02816-4654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4105089 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071115000120 | RI | Part A Provider - Skilled Nursing Facility | 5799873378 | Practice locations: Coventry, RI |
Skilled nursing facility certification: CCN 415089
- Legal name
- ALPINE NURSING HOME INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 11, 1990
- Last certification
- Mar 27, 2025
- Beds
- 60
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 557 Weaver Hill Rd
Coventry, RI 02816-4679 - Nursing home name
- ALPINE NURSING HOME INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Alpine Nursing Home Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 11, 1990
- Medicare certification status
- Active
- Certified beds
- 60
National Provider Directory
National Provider DirectoryLocations
557 Weaver Hill Rd
Coventry, RI 02816
Phone (401) 397-5001
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jan 1, 2014 | ||
| Rodney J Gauvin | 5% Or Greater Direct Ownership Interest | Jul 5, 1990 | 50% |
| Operational/Managerial Control | Jul 5, 1990 | ||
| Adp of the SNF | Jul 5, 1990 | ||
| Direct Ownership Interest | Jul 5, 1990 | 50% | |
| Janet Messier | 5% Or Greater Direct Ownership Interest | Jul 5, 1990 | 50% |
| Corporate Officer | Feb 1, 1994 | ||
| Corporate Director | Jan 28, 1993 | ||
| Adp of the SNF | Jul 5, 1990 | ||
| Direct Ownership Interest | Jul 5, 1990 | 50% |
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": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1316915580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 WEAVER HILL RD",
"address_2": "PO BOX 457",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028164654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 WEAVER HILL RD",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028164654",
"telephone_number": "401-397-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPINE NURSING HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "GAUVIN",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "401-397-5001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "RI",
"license": "689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4105089",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.