NPIMap

Organization Active NPI

Rosebay, LLC

  • Skilled Nursing Facility
  • Roseville, CA
National Provider Identifier
1578025482
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROSEBAY, LLC
Practice address
310 Oak Ridge Dr
Roseville, CA 95661-3420
Phone
(916) 782-3188
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

310 Oak Ridge Dr
Roseville, CA 95661-3420

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
O20190507000807 CA Part A Provider - Skilled Nursing Facility 3476895780 Practice locations: Roseville, CA

Skilled nursing facility certification: CCN 055491

Legal name
ROSEBAY LLC
Doing business as
OAKRIDGE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1978
Last certification
Feb 28, 2025
Beds
67
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cypress Healthcare
Organization structure
LLCProprietary
Incorporated
Feb 22, 2019 in CA
Enrollment address
310 Oak Ridge Dr
Roseville, CA 95661-3420
Nursing home name
OAK RIDGE HEALTHCARE CENTER
Affiliated entity
CYPRESS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oak Ridge Healthcare CenterCCN 055491
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6764.5 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

Locations

4205 Cincinnati Ave
Ste 100
Rocklin, CA 95765

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 LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2019 100%
Jeffrey Smith Individual Operational/Managerial Control May 24, 2024
Adp of the SNF May 24, 2024
Jodean Meyer Individual Operational/Managerial Control Jan 10, 2022
Adp of the SNF Jan 10, 2022
Kevin Furniss Individual Operational/Managerial Control Nov 11, 2024
Adp of the SNF Nov 11, 2024
Fikir Morkoc Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Marcel Costa Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Valentina Koga Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Matthew Jackson Individual 5% Or Greater Indirect Ownership InterestManager Mar 20, 2019 33.33%
Corporate OfficerManager Mar 20, 2019
Operational/Managerial Control Jun 25, 2026
Joni Larios Individual Operational/Managerial Control Dec 18, 2024
Adp of the SNF Apr 1, 2019
Robert Jackson Individual 5% Or Greater Indirect Ownership InterestManager Mar 20, 2019 33.33%
Corporate OfficerManager Mar 20, 2019
Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Jack Sanofsky Individual 5% Or Greater Indirect Ownership InterestManager Apr 1, 2019 33.33%
Corporate OfficerManager Apr 1, 2019
Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Yesenia Delos Santos Individual Operational/Managerial Control Feb 10, 2023
Adp of the SNF Feb 10, 2023
Jessica Canfeild Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019

Owners & managing parties with NPI records 1

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

  • Fikir Morkoc, M.D.
    • Critical Care Medicine (Internal Medicine) Physician
    • Citrus Heights, CA
    • NPI 1134295272

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 12

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

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": "1578025482",
    "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": "310 OAK RIDGE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613420",
            "telephone_number": "916-782-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBAY, 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 Roseville, CA

Sources for this page

Verify at the official NPI Registry.