Active NPI
Steere House
- Skilled Nursing Facility
- Providence, RI
National Provider Identifier
1730219619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- LTC00668
- Legal business name
- STEERE HOUSE
- Practice address
- 100 Borden St
Providence, RI 02903-4803 - Phone
- (401) 454-7970
- Fax
- (401) 831-7570
- NPI assigned
- Mar 7, 2007
- 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
- Mrs. Dianne Bourget
- Title
- Director of Finance
- Phone
- (401) 454-7970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | LTC00668 | RI | Primary |
Addresses
Primary practice location
100 Borden St
Providence, RI 02903-4803
Mailing address
100 Borden St
Providence, RI 02903-4803
Phone (401) 454-7970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4105091 | Medicaid | RI |
Other names 1
- STEERE HOUSE NURSING AND REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071204000649 | RI | Part A Provider - Skilled Nursing Facility | 7618066275 | Practice locations: Providence, RI |
Skilled nursing facility certification: CCN 415091
- Legal name
- STEERE HOUSE
- Doing business as
- STEERE HOUSE NURSING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1991
- Last certification
- Nov 4, 2024
- Beds
- 120
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 6, 1875 in RI
- Enrollment address
- 100 Borden St
Providence, RI 02903-4803 - Nursing home name
- STEERE HOUSE NURSING AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Steere House Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 1, 1991
- Medicare certification status
- Active
- Certified beds
- 120
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0725184 | Steere House | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Norma Owens | Corporate Officer | Jun 24, 2013 | |
| Corporate Director | Jun 1, 1998 | ||
| Chelsie Higgins | W-2 Managing Employee | Mar 9, 2022 | |
| Linda M Cannistra | Corporate Officer | Mar 9, 2022 | |
| Paul a Astphan | Corporate Officer | Mar 9, 2022 | |
| Diane Steere-Nobles | Corporate Officer | Jun 28, 2010 | |
| Corporate Director | Jun 1, 2005 | ||
| Nicole Plante | W-2 Managing Employee | Mar 30, 2015 | |
| Julie H. Richard | Corporate Director | Dec 1, 2007 | |
| W-2 Managing Employee | Dec 1, 2007 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Riverside, RI
- NPI 1265486443
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Riverside, RI
- NPI 1982803359
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Riverside, RI
- NPI 1215984257
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1730219619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BORDEN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034803",
"telephone_number": "401-454-7970",
"fax_number": "401-831-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BORDEN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034803",
"telephone_number": "401-454-7970",
"fax_number": "401-831-7570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEERE HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "BOURGET",
"authorized_official_first_name": "DIANNE",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "401-454-7970",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "RI",
"license": "LTC00668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4105091",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STEERE HOUSE NURSING AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.