PP
PENACOOK PLACE, INC.
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
HAVERHILL, MA
Licensed since
2006
Rate
—
Federal compliance record
Total fines$33,677
Payment denials / penalties4
Abuse flagNone on record
Federal identifiers
NPI registry number1134107196
CMS Certification Number (CCN)225376
Agency details
Avg residents / day105.9
OwnershipNon profit - Church related
Chain affiliationCOVENANT HEALTH
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJULIAN RICH
TitlePRESIDENT / CEO
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