The Holiday Retirement Home, Inc.
Organization Active NPI Skilled Nursing Facility · Manville, RI
NPI 1528050499 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1528050499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 588 (RI)
- Legal business name
- THE HOLIDAY RETIREMENT HOME, INC.
- Practice address
- 30 Sayles Hill Rd
Manville, RI 02838-1227 - Phone
- (401) 765-1440
- Fax
- (401) 765-7464
- NPI assigned
- Aug 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Greg Chopoorian, B.A., M.A. , NHA
- Title
- Administrator
- Phone
- (401) 765-1440
Affiliated clinicians 4
-
Hao Yuan Huang, M.D.
-
Syed Naqvi, MD
-
Jun O Parks, M. D.
Medicare Care Compare: Nursing home
- Listed as
- Holiday Operator, LLC DBA Holiday Rehabilitation a
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 1, 1980
- Medicare certification status
- Active
- Certified beds
- 170 · 136.2 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $46,118
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Skilled nursing facility certification: CCN 415075
- Legal name
- THE HOLIDAY RETIREMENT HOME, INC.
- Doing business as
- THE HOLIDAY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1980
- Last certification
- May 16, 2024
- Beds
- 170
- Ownership / control type
- Individual
- Organization structure
- Corporation · Proprietary
- Incorporated
- Oct 19, 1971 in RI
- Enrollment address
- 30 Sayles Hill Rd
Manville, RI 02838-1227 - Nursing home name
- HOLIDAY OPERATOR, LLC DBA HOLIDAY REHABILITATION AND HEALTHCARE CENTER
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Donald Roy |
5% Or Greater Direct Ownership Interest | Oct 1, 2015 | 33.33% |
| Corporate Officer |
Nov 30, 1983 | 0.33% | |
| Corporate Director |
Nov 30, 1983 | 0.33% | |
| Jeffrey Roy |
Corporate Officer |
Oct 18, 2006 | |
| Corporate Director | Oct 18, 2006 | ||
| Elizabeth Fernandes Darosa |
W-2 Managing Employee |
Mar 16, 2015 | |
| Jeanne Gurchin |
5% Or Greater Direct Ownership Interest | Oct 1, 2015 | 33.33% |
| Corporate Officer |
Nov 30, 1983 | 0.33% | |
| Judith Roy |
5% Or Greater Direct Ownership Interest | Nov 30, 1983 | 33.3% |
| Corporate Director | Nov 30, 1983 | 0.33% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080218000677 | RI | Part a Provider - Skilled Nursing Facility | 6204919921 | Practice locations: Manville, RI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 588 | RI | Yes |
Addresses
Primary practice location
30 Sayles Hill Rd
Manville, RI 02838-1227
Mailing address
30 Sayles Hill Rd
Manville, RI 02838-1227
Phone (401) 765-1440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V631P3705 | Other | RI | VETERANS ADMINISTRATION |
| 4105075 | Medicaid | RI |
Other names
- The Holiday
Other providers in Manville, RI
- Aaron Bond Morris
- Bonnie Piekarski
- Megan Rei
- Sacredpause, LLC
- Rhonda Somyk
- Janice Votta
- Ezri Williams
All providers in Manville, RI · Skilled Nursing Facility in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.