Jeanne Jugan Residence of the Little Sisters of the Poor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00366 Issued in RI

Legal business name

JEANNE JUGAN RESIDENCE OF THE LITTLE SISTERS OF THE POOR, INC.

Practice address

964 Main St
Pawtucket, RI 02860-4842

Phone

(401) 723-4314

Fax

(401) 724-4092

NPI assigned

Nov 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mercy Andrades

Title

President

Phone

(401) 723-4314

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Skilled nursing facility certification: CCN 415073

Legal name

JEANNE JUGAN RESIDENCE OF THE LITTLE SISTERS OF THE POOR, INC.

Doing business as

JEANNE JUGAN RESIDENCE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 1, 1980

Last certification

Jan 24, 2025

Beds

49

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Enrollment address

964 Main St
Pawtucket, RI 02860-4842

Nursing home name

JEANNE JUGAN RESIDENCE

Affiliated entity

LITTLE SISTERS OF THE POOR

Listed as

Jeanne Jugan ResidenceCCN 415073 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Jan 1, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4931.2 residents per day on average

Chain

Little Sisters of the Poor4 facilities in the chain

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 6

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.

• Kimberly Ann Leon, MD

  • Family Medicine Physician
  • Warwick, RI
  • NPI 1780213629

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ann Leon, MD

  • Family Medicine Physician
  • Warwick, RI
  • NPI 1780213629
  NPD (past)

Affiliated clinicians 1

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

• Kimberly Ann Leon, MD

  • Family Medicine Physician
  • Warwick, RI
  • NPI 1780213629

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1568445575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604842",
            "telephone_number": "401-723-4314",
            "fax_number": "401-724-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604842",
            "telephone_number": "401-723-4314",
            "fax_number": "401-724-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE JUGAN RESIDENCE OF THE LITTLE SISTERS OF THE POOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "ANDRADES",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-723-4314"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01346",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105073",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Alexandra Jarrell, MD
• Tami Rene Jarvis, CADC
• Benjamin James Javery, PA-C
• Michael E Jay, M.D.
• Monet Jean Philippe, MSW
• Joshua Michael Jebb, PHARMD
• Jeminsight
• Tiffany Justine Jenkins
• Elizabeth Johanson, MASTERS
• Adam Nathaniel Johnson

• Skilled Nursing Facility in Pawtucket, RI
• Providers in Pawtucket, 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 Jul 8, 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.

Verify at the official NPI Registry.