Active NPI
Goodhope Bay Holdings LLC
- Skilled Nursing Facility
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GOODHOPE BAY HOLDINGS LLC
- Practice address
- 45 Forest CV
Jackson, TN 38301-4366 - Phone
- (731) 424-4200
- Fax
- (731) 427-5456
- NPI assigned
- Sep 10, 2024
- 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
- Curtis S Rodriguez
- Title
- Manager
- Phone
- (858) 798-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
45 Forest CV
Jackson, TN 38301-4366
Mailing address
45 Forest CV
Jackson, TN 38301-4366
Phone (731) 424-4200
Other names 1
- Cypress Grove Post Acute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250606001400 | TN | Part A Provider - Skilled Nursing Facility | 9830609189 | Practice locations: Jackson, TN |
Skilled nursing facility certification: CCN 445453
- Legal name
- GOODHOPE BAY HOLDINGS LLC
- Doing business as
- CYPRESS GROVE POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2002
- Last certification
- Jul 14, 2022
- Beds
- 170
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Links Health
- Organization structure
- LLC
- Enrollment address
- 45 Forest CV
Jackson, TN 38301-4366 - Nursing home name
- CYPRESS GROVE POST ACUTE
- Affiliated entity
- LINKS HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cypress Grove Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 2002
- Medicare certification status
- Active
- Certified beds
- 170
- Chain
- Links Healthcare Group
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0663168 | Goodhope Bay Holdings, LLC | Certificate of waiver | Aug 31, 2026 |
| 44D2345567 | Cypress Grove Post Acute | Certificate of waiver | Jun 11, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 21
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 |
|---|---|---|---|
| Indirect Ownership Interest | Jan 1, 2025 | 0.8% | |
| Adp of the SNF | Dec 26, 2024 | ||
| Toby Tilford | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 46.6% |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Dec 26, 2024 | ||
| Adp of the SNF | Dec 26, 2024 | ||
| 45 Forest Cove TN LLC | 5% Or Greater Mortgage Interest | Jan 1, 2025 | 100% |
| Adp of the SNF | Dec 26, 2024 | ||
| Adp of the SNF | Dec 31, 2024 | ||
| Adp of the SNF | Dec 26, 2024 | ||
| Zabian Sanders | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 2, 2025 | ||
| Adp of the SNF | Dec 26, 2024 | ||
| Adp of the SNF | Jan 2, 2025 | ||
| Adp of the SNF | Jan 3, 2025 | ||
| Jere D Hammond | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Dec 26, 2024 | ||
| Links Healthcare Group LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| Operational/Managerial Control | Dec 26, 2024 | ||
| Adp of the SNF | Jan 2, 2025 | ||
| Indirect Ownership Interest | Jan 1, 2025 | 4% | |
| Adp of the SNF | Dec 26, 2024 | ||
| Indirect Ownership Interest | Jan 1, 2025 | 2% | |
| Adp of the SNF | Dec 26, 2024 | ||
| Curtis Rodriguez | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 46.6% |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Managing Control - Governing Body | Jan 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1891763819
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 30
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Cordova, TN
- NPI 1215763941
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Memphis, TN
- NPI 1568298297
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Covington, TN
- NPI 1053147736
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Jackson, TN
- NPI 1043046733
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Jackson, TN
- NPI 1578399168
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Memphis, TN
- NPI 1568298156
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Campbell, CA
- NPI 1801615133
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- San Diego, CA
- NPI 1316655871
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Livermore, CA
- NPI 1477077816
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Stockton, CA
- NPI 1538683974
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Carmichael, CA
- NPI 1265934632
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Lodi, CA
- NPI 1619531258
Links Healthcare Group LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1891763819
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1275500274
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": "1725926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1891521589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 FOREST CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383014366",
"telephone_number": "731-424-4200",
"fax_number": "731-427-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 FOREST CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383014366",
"telephone_number": "731-424-4200",
"fax_number": "731-427-5456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODHOPE BAY HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "858-798-5700"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cypress Grove Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.