NPIMap

Organization Active NPI

Spyglass, LLC

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1831651645
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPYGLASS, LLC
Practice address
4635 College Oak Dr
Sacramento, CA 95841-4516
Phone
(916) 481-7434
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

4635 College Oak Dr
Sacramento, CA 95841-4516

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
O20190515003360 CA Part A Provider - Skilled Nursing Facility 5890038764 Practice locations: Sacramento, CA

Skilled nursing facility certification: CCN 056158

Legal name
SPYGLASS, LLC
Doing business as
COLLEGE OAKS NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 16, 1970
Last certification
Feb 7, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cypress Health Care Group
Organization structure
LLCProprietary
Incorporated
Feb 22, 2019 in CA
Enrollment address
4635 College Oak Dr
Sacramento, CA 95841-4516
Nursing home name
COLLEGE OAK NURSING AND REHABILITATION CENTER
Affiliated entity
CYPRESS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
College Oak Nursing and Rehabilitation CenterCCN 056158
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 16, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120115.0 residents per day on average
Chain
Cypress Healthcare Group13 facilities in the chain
Penalties (3 years)
1Fines totaling $9,814

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

4635 College Oak Dr
Sacramento, CA 95841
Phone (916) 436-9870

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 Mar 20, 2019 100%
Michael Watkins Individual Operational/Managerial Control Jun 28, 2022
Adp of the SNF Jun 28, 2022
Christopher McConnell Individual Operational/Managerial Control Oct 20, 2023
Adp of the SNF Oct 20, 2023
Harkesh S Sandhu Individual Operational/Managerial Control Apr 19, 2019
Adp of the SNF Apr 19, 2019
Mary Rose Roldan Individual Operational/Managerial Control May 18, 2020
Adp of the SNF May 18, 2020
Shalini Singh Individual Operational/Managerial Control Dec 13, 2022
Adp of the SNF Dec 13, 2022
Jean Borja Individual Operational/Managerial Control Nov 21, 2019
Adp of the SNF Nov 21, 2019
Matthew Jackson Individual 5% Or Greater Indirect Ownership InterestManager Apr 1, 2019 33.33%
Corporate OfficerManager Apr 1, 2019
Operational/Managerial Control Jun 25, 2026
Robert Jackson Individual 5% Or Greater Indirect Ownership InterestManager Mar 20, 2019 33.33%
Corporate OfficerManager Mar 20, 2019
Operational/Managerial Control Jun 25, 2026
Alzeena Khan Individual Operational/Managerial Control Sep 29, 2024
Adp of the SNF Sep 23, 2024
Jack Sanofsky Individual 5% Or Greater Indirect Ownership InterestManager Apr 1, 2019 33.33%
Corporate OfficerManager Apr 1, 2019
Operational/Managerial Control Jun 25, 2026
Stephany Hadrick Individual Operational/Managerial Control Sep 5, 2024
Adp of the SNF Sep 5, 2024
Emilee Green-Rastekhiz Individual Operational/Managerial Control Nov 14, 2023
Adp of the SNF Nov 14, 2023

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": "1831651645",
    "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": "4635 COLLEGE OAK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414516",
            "telephone_number": "916-481-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPYGLASS, 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.