Healthcare Provider Details

I. General information

NPI: 1811038276
Provider Name (Legal Business Name): SAINT ANTOINE RESIDENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 RHODES AVE
NORTH SMITHFIELD RI
02896-6987
US

IV. Provider business mailing address

10 RHODES AVE
NORTH SMITHFIELD RI
02896-6987
US

V. Phone/Fax

Practice location:
  • Phone: 401-767-3500
  • Fax: 401-769-5249
Mailing address:
  • Phone: 401-767-3500
  • Fax: 401-769-5249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number00001
License Number StateRI

VIII. Authorized Official

Name: GARRETT SULLIVAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-767-3500