Saint Antoine Residence

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00001 Issued in RI

Legal business name

SAINT ANTOINE RESIDENCE

Practice address

10 Rhodes Ave
North Smithfield, RI 02896-6987

Phone

(401) 767-3500

Fax

(401) 769-5249

NPI assigned

Feb 9, 2007

Last updated

Aug 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garrett Sullivan

Title

Executive Director

Phone

(401) 767-3500

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811038276. Details of each certification follow.

• CCN 415106 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 415106

Legal name

SAINT ANTOINE RESIDENCE

Doing business as

TD BANK GROUP

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1992

Last certification

Oct 24, 2024

Beds

260

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

10 Rhodes Ave
North Smithfield, RI 02896-6987

Nursing home name

ST ANTOINE RESIDENCE

Listed as

St Antoine ResidenceCCN 415106 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

260167.6 residents per day on average

Penalties (3 years)

4Fines totaling $38,519

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 31

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.

• Syed Naqvi, MD

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1306044409

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

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

• Altaf Ahmed Girach, MD

  • Internal Medicine Physician
  • Cumberland, RI
  • NPI 1801982491

  Nursing home

  Care Compare affiliation
• Garron Lamp, MD

  • Internal Medicine Physician
  • Woonsocket, RI
  • NPI 1639592462

  Nursing home

  Care Compare affiliation
• Syed Naqvi, MD

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1306044409

  Nursing home

  Care Compare affiliation
• Konstantin Ravvin, MD

  • Hospitalist Physician
  • Milford, MA
  • NPI 1851851901

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1811038276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RHODES AVE",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966987",
            "telephone_number": "401-767-3500",
            "fax_number": "401-769-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RHODES AVE",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966987",
            "telephone_number": "401-767-3500",
            "fax_number": "401-769-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANTOINE RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-767-3500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "00001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105106",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Romano, DO
• Ronald Romano, DO, Inc
• Kayla M Rose, OD
• Shanna Theresa Rudek
• Cheryl Sachs, MSW, ACSW, SSW-S
• Jamie Schmitt, LMHC
• Tyler A Scorpio
• Mary Ann Seebeck, RN, BSN
• Sefe Therapy
• Sheila C Poirier Trust the Process

• Skilled Nursing Facility in North Smithfield, RI
• Providers in North Smithfield, 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 Aug 15, 2025; 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.