NPIMap

Organization Active NPI

St. Andre Health Care Facility

  • Skilled Nursing Facility
  • Biddeford, ME
National Provider Identifier
1629065503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
36288 Issued in 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dayna Larson-Hurst
Title
Administrator/Ceo
Phone
(207) 282-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 36288 ME Primary

Addresses

Primary practice location

407 Pool St
Biddeford, ME 04005-9714

Mailing address

407 Pool St
Biddeford, ME 04005-9714
Phone (207) 282-5171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426000318 ME Part A Provider - Skilled Nursing Facility 1951340439 Practice locations: Biddeford, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629065503. Details of each certification follow.

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
CorporationNon-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

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Andre Health Care FacilityCCN 205108 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
9679.7 residents per day on average
Chain
Covenant Health8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0087750St Andre Health Care Facility407 Pool Street, Biddeford, ME 04005Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

100 Ames Pond Dr
Ste 102
Tewksbury, MA 01876

407 Pool St
Biddeford, ME 04005
Phone (207) 205-2560

Ownership & related parties

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.

NameRoleSinceShare
Stephen P Alaimo Individual Corporate OfficerAdministrator Jun 29, 2015 100%
W-2 Managing EmployeeAdministrator Jun 29, 2015 100%
Victoria S Thieme Individual Corporate DirectorDirector Jan 1, 2016
Michael Patrick Hogan Individual Corporate OfficerRegional Controller Apr 4, 2008
W-2 Managing EmployeeRegional Controller Apr 4, 2008
Operational/Managerial ControlRegional Controller Apr 4, 2008
Joseph Valenza Individual Corporate Director Jan 1, 2016
Nicole L Castillo Individual Corporate OfficerDirector of Post Acute a/R May 18, 2018
W-2 Managing EmployeeDirector of Post Acute a/R May 18, 2018
Operational/Managerial ControlDirector of Post Acute a/R May 18, 2018
Covenant Health Organization, Tewksbury, MA Non-profit 5% Or Greater Direct Ownership Interest Oct 20, 2000 100%

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629065503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 POOL ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059714",
            "telephone_number": "207-282-5171",
            "fax_number": "207-282-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 POOL ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059714",
            "telephone_number": "207-282-5171",
            "fax_number": "207-282-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANDRE HEALTH CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON-HURST",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "207-282-5171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "36288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.