St. Andre Health Care Facility
Organization Active NPI Skilled Nursing Facility · Biddeford, ME
NPI 1629065503 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1629065503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 36288 (ME)
- Legal business name
- ST. ANDRE HEALTH CARE FACILITY
- Practice address
- 407 Pool St
Biddeford, ME 04005-9714 - Phone
- (207) 282-5171
- Fax
- (207) 282-5372
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dayna Larson-Hurst
- Title
- Administrator/Ceo
- Phone
- (207) 282-5171
Facilities with the same owner 14
Practitioners 1
-
Maureen Sauvage, DO
Affiliated clinicians 1
-
Maureen Sauvage, DO
Medicare Care Compare: Nursing home
- Listed as
- St Andre Health Care Facility
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1993
- Medicare certification status
- Active
- Certified beds
- 96 · 79.7 residents per day on average
- Chain
- Covenant Health
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0087750 | St Andre Health Care Facility | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Skilled nursing facility certification: CCN 205108
- Legal name
- ST. ANDRE HEALTH CARE FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1993
- Last certification
- Jul 13, 2022
- Beds
- 96
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Covenant Health
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 13, 1974 in ME
- Enrollment address
- 407 Pool St
Biddeford, ME 04005-9714 - Nursing home name
- ST ANDRE HEALTH CARE FACILITY
- Affiliated entity
- COVENANT HEALTH
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen P Alaimo |
Corporate Officer |
Jun 29, 2015 | 100% |
| W-2 Managing Employee |
Jun 29, 2015 | 100% | |
| Victoria S Thieme |
Corporate Director |
Jan 1, 2016 | |
| Michael Patrick Hogan |
Corporate Officer |
Apr 4, 2008 | |
| W-2 Managing Employee |
Apr 4, 2008 | ||
| Operational/Managerial Control |
Apr 4, 2008 | ||
| Joseph Valenza |
Corporate Director | Jan 1, 2016 | |
| Nicole L Castillo |
Corporate Officer |
May 18, 2018 | |
| W-2 Managing Employee |
May 18, 2018 | ||
| Operational/Managerial Control |
May 18, 2018 | ||
| Covenant Health |
5% Or Greater Direct Ownership Interest | Oct 20, 2000 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050426000318 | ME | Part a Provider - Skilled Nursing Facility | 1951340439 | Practice locations: Biddeford, ME |
National Provider Directory
Locations
100 Ames Pond Dr
Ste 102
Tewksbury, MA 01876
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 36288 | ME | Yes |
Addresses
Primary practice location
407 Pool St
Biddeford, ME 04005-9714
Mailing address
407 Pool St
Biddeford, ME 04005-9714
Phone (207) 282-5171
Other providers in Biddeford, ME
- Spurwink Services Inc.
- George Noel Squires
- St . Andre'S Home, Inc.
- St Andre Home Inc.
- Nicole St Louis
- Jacqueline Stagg
- Shannon Stanhope
- Sundaram David Stanly
- Sarah Elizabeth Starkweather
- Nicole Stasil
All providers in Biddeford, ME · Skilled Nursing Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.