Penacook Place, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 8527232594 Enrollment ID O20111201000394

Linked facilitiesFacilities

StatesStates

9 parties: 1 organizations · 8 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Nicole L Castillo	8123363603	Individual	W-2 Managing Employee	0
Covenant Health	9234236852	Organization	5% or Greater Direct Ownership Interest	100
John Delaney	7517338650	Individual	Corporate Officer	—
Judithann Riopelle	8729459862	Individual	Corporate Officer	—
Gregory Shaw	2466823505	Individual	Corporate Officer	—
Caitlin Masys	4284005323	Individual	Corporate Officer	—
John J Sarro	5395648521	Individual	Corporate Officer	—
Thomas Mortimer	7810368958	Individual	Corporate Officer	—
Michael Bell	7810169778	Individual	Corporate Director	100

Nicole L CastilloPAC 8123363603
Individual0W-2 Managing Employee
Covenant HealthPAC 9234236852
Organization1005% or Greater Direct Ownership Interest
John DelaneyPAC 7517338650
IndividualCorporate Officer
Judithann RiopellePAC 8729459862
IndividualCorporate Officer
Gregory ShawPAC 2466823505
IndividualCorporate Officer
Caitlin MasysPAC 4284005323
IndividualCorporate Officer
John J SarroPAC 5395648521
IndividualCorporate Officer
Thomas MortimerPAC 7810368958
IndividualCorporate Officer
Michael BellPAC 7810169778
Individual100Corporate Director

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Penacook Place, Inc Penacook Place, Inc. 102 residents		Other disclo…	3.76	Ovr★★★★☆Stf★★★★☆Ins★★★★☆QM★★★☆☆	102

Penacook Place, Inc
Penacook Place, Inc.
Other disclosed role102 res3.76 HPRD
Overall 4Staffing Staff 4

Related CMS associates

Name match to Penacook Place, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.