Northbridge Health Care Center, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 4587758651 Enrollment ID O20070920000030

Linked facilitiesFacilities

StatesStates

5 parties: 1 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Athena Health Care Associates, Inc.	3375454937	Organization	Operational/Managerial Control	0
Erica Roman	5890072474	Individual	W-2 Managing Employee	0
Lawrence G Santilli	6002727666	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	76.23
Lawrence E Santilli	0446162317	Individual	5% or Greater Direct Ownership Interest	13.27
Michael E Mosier	1557455730	Individual	Corporate Officer	4

Athena Health Care Associates, Inc.PAC 3375454937
Organization0Operational/Managerial Control
Erica RomanPAC 5890072474
Individual0W-2 Managing Employee
Lawrence G SantilliPAC 6002727666
Individual76.235% or Greater Direct Ownership Interest; Corporate Officer
Lawrence E SantilliPAC 0446162317
Individual13.275% or Greater Direct Ownership Interest
Michael E MosierPAC 1557455730
Individual4Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Civita Care Northbridge Northbridge Health Care Center, Inc. 121 residents		Other disclo…	3.60	Ovr★☆☆☆☆Stf★★★☆☆Ins★☆☆☆☆QM★★★★☆	121

Civita Care Northbridge
Northbridge Health Care Center, Inc.
Other disclosed role121 res3.60 HPRD
Overall 1Staffing Staff 3

Related CMS associates

Name match to Northbridge Health Care Center, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.