Active NPI
Alister LLC
- Skilled Nursing Facility
- Sacramento, CA
National Provider Identifier
1558082776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ALISTER LLC
- Practice address
- 415 P St
Sacramento, CA 95814-5300 - Phone
- (916) 442-4906
- NPI assigned
- Sep 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Bushnell
- Title
- Director of Operations
- Phone
- (949) 508-8370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
415 P St
Sacramento, CA 95814-5300
Mailing address
2266 Lava Ridge CT
Roseville, CA 95661-2856
Phone (949) 508-8370
Other names 1
- Pioneer House
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230816002900 | CA | Part A Provider - Skilled Nursing Facility | 2860854213 | Practice locations: Sacramento, CA |
Skilled nursing facility certification: CCN 555542
- Legal name
- ALISTER LLC
- Doing business as
- PIONEER HOUSE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1993
- Last certification
- Nov 15, 2024
- Beds
- 50
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Cypress Healthcare Group
- Organization structure
- LLC
- Incorporated
- May 20, 2022 in CA
- Enrollment address
- 415 P St
Sacramento, CA 95814-5300 - Nursing home name
- PIONEER HOUSE
- Affiliated entity
- CYPRESS HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pioneer House
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1993
- Medicare certification status
- Active
- Certified beds
- 50
- Chain
- Cypress Healthcare Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Cypress Healthcare Group LLC | 5% Or Greater Direct Ownership Interest | Jun 23, 2023 | 100% |
| Operational/Managerial Control | Jun 24, 2023 | ||
| Adp of the SNF | Jun 24, 2023 | ||
| Chandandeep S Cheema | Adp of the SNF | Jan 1, 2024 | |
| Kimberle Smith | Adp of the SNF | Jun 24, 2023 | |
| Felipe Framo | Adp of the SNF | Jan 4, 2024 | |
| Ramon Singson | Adp of the SNF | Oct 15, 2024 | |
| Sandhya Mala | Adp of the SNF | Nov 25, 2024 | |
| Matthew Jackson | 5% Or Greater Indirect Ownership Interest | Jun 23, 2023 | 33.33% |
| Operational/Managerial Control | Jun 24, 2023 | ||
| Adp of the SNF | Jun 24, 2023 | ||
| Daniel Costello | Adp of the SNF | Sep 9, 2024 | |
| Robert Jackson | 5% Or Greater Indirect Ownership Interest | Jun 23, 2023 | 33.33% |
| Operational/Managerial Control | Jun 24, 2023 | ||
| Adp of the SNF | Jun 24, 2023 | ||
| Jack Sanofsky | 5% Or Greater Indirect Ownership Interest | Jun 23, 2023 | 33.33% |
| Operational/Managerial Control | Jun 24, 2023 | ||
| Adp of the SNF | Jun 24, 2023 | ||
| Fnu Armaan | Operational/Managerial Control | Jun 24, 2023 | |
| Adp of the SNF | Jun 24, 2023 | ||
| Zekaia White | Adp of the SNF | Oct 15, 2024 |
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": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1558082776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2266 LAVA RIDGE CT",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612856",
"telephone_number": "949-508-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 P ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145300",
"telephone_number": "916-442-4906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALISTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A",
"authorized_official_last_name": "BUSHNELL",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "949-508-8370"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pioneer House",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.