NPIMap

Organization Active NPI

Cottons, LLC

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1376005181
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COTTONS, LLC
Practice address
2240 Northrop Ave
Sacramento, CA 95825-7408
Phone
(916) 927-9300
NPI assigned
Apr 1, 2019
Organization subpart
Yes
Parent organization
CYPRESS HEALTHCARE GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Matt Jackson
Title
Manager
Phone
(916) 257-2564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2240 Northrop Ave
Sacramento, CA 95825-7408

Mailing address

4205 Cincinnati Ave Ste 100
Rocklin, CA 95765-1413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190506002241 CA Part A Provider - Skilled Nursing Facility 9931441243 Practice locations: Sacramento, CA

Skilled nursing facility certification: CCN 555798

Legal name
COTTONS LLC
Doing business as
WOODSIDE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 5, 2002
Last certification
Nov 22, 2024
Beds
58
Ownership / control type
Corporation
Multi-facility organization
Cypress Healthcare Group
Most recent change of ownership
Mar 20, 2019
Organization structure
LLCProprietary
Incorporated
Feb 22, 2019 in CA
Enrollment address
2240 Northrop Ave
Sacramento, CA 95825-7408
Nursing home name
WOODSIDE HEALTHCARE CENTER
Affiliated entity
CYPRESS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodside Healthcare CenterCCN 555798
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 5, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5855.4 residents per day on average
Chain
Cypress Healthcare Group13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cypress Healthcare Group LLC Organization, Roseville, CA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 29, 2023 100%
Direct Ownership Interest Sep 29, 2023
Olga Trukhan Individual Operational/Managerial Control Mar 29, 2021
Adp of the SNF Mar 29, 2021
Rebecca Beam Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Dmitrii Barkovskii Individual Operational/Managerial Control Jan 30, 2025
Adp of the SNF Jan 30, 2025
Mai Lee Individual Operational/Managerial Control Feb 12, 2024
Adp of the SNF Feb 12, 2024
Irina Klimovich Individual Operational/Managerial Control Sep 29, 2023
Adp of the SNF Sep 16, 2021
Lyubov Fastovich Individual Operational/Managerial Control Mar 29, 2021
Adp of the SNF Mar 29, 2021
Matthew Jackson Individual 5% Or Greater Indirect Ownership InterestManager Apr 1, 2019 33.33%
Corporate DirectorManager Apr 1, 2019 33.33%
Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Robert Jackson Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2019 33.33%
Corporate OfficerManager Apr 1, 2019 33.33%
Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Alicia Portela Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Jack Sanofsky Individual 5% Or Greater Indirect Ownership Interest Mar 20, 2019 33.33%
Corporate OfficerManager Mar 20, 2019 33.33%
Operational/Managerial Control Mar 20, 2019
Adp of the SNF Mar 20, 2019
Christian G Reyna Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Myla Pastrano-Oclarino Individual Operational/Managerial Control Mar 9, 2021
Adp of the SNF Mar 9, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1376005181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CINCINNATI AVE STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957651413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 NORTHROP AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257408",
            "telephone_number": "916-927-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CYPRESS HEALTHCARE GROUP, LLC",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-257-2564"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.