NPIMap

Organization Active NPI

Maltique, LLC

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1962046482
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MALTIQUE, LLC
Practice address
4700 Elvas Ave
Sacramento, CA 95819-2250
Phone
(916) 454-4700
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Jack Sanofsky
Title
Manager
Phone
(916) 454-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4700 Elvas Ave
Sacramento, CA 95819-2250

Mailing address

4700 Elvas Ave
Sacramento, CA 95819-2250

Other names 1

  • Sherwood Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.pointclickcare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121001961 CA Part A Provider - Skilled Nursing Facility 3173958139 Practice locations: Sacramento, CA

Skilled nursing facility certification: CCN 055305

Legal name
MALTIQUE, LLC
Doing business as
SHERWOOD HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1971
Last certification
May 9, 2025
Beds
62
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cypress Healthcare Group
Organization structure
LLCProprietary
Incorporated
Jul 18, 2019 in CA
Enrollment address
4700 Elvas Ave
Sacramento, CA 95819-2250
Nursing home name
SHERWOOD HEALTHCARE CENTER
Affiliated entity
CYPRESS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sherwood Healthcare CenterCCN 055305
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6257.5 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

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 Oct 1, 2019 100%
Dustin Murray Individual Operational/Managerial Control Mar 20, 2020
Adp of the SNF Mar 20, 2020
Maria Nunez Individual Operational/Managerial Control Sep 12, 2022
Adp of the SNF Sep 12, 2022
Marianna Abrego Individual Operational/Managerial Control Dec 16, 2024
Adp of the SNF Dec 16, 2024
Milan Cepec Individual Operational/Managerial Control Dec 9, 2019
Adp of the SNF Dec 9, 2019
Faraz R Zaidi Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Victoria Leung Individual Operational/Managerial Control Feb 20, 2024
Adp of the SNF Feb 20, 2024
Stacy Belton Individual Operational/Managerial Control Aug 23, 2022
Adp of the SNF Aug 23, 2022
Matthew Jackson Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 33.33%
Corporate DirectorManager Oct 1, 2019 33.33%
Operational/Managerial Control Oct 1, 2019
Adp of the SNF Oct 1, 2019
Robert Jackson Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 33.33%
Corporate DirectorManager Oct 1, 2019 33.33%
Operational/Managerial Control Oct 1, 2019
Adp of the SNF Oct 1, 2019
Sherin Sharma Individual Operational/Managerial Control Oct 1, 2019
Adp of the SNF Jun 2, 2020
Jack Sanofsky Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 33.33%
Corporate DirectorManager Oct 1, 2019 33.33%
Operational/Managerial Control Oct 1, 2019
Adp of the SNF Oct 1, 2019
Augusto Sandigo Individual Operational/Managerial Control Oct 1, 2019
Adp of the SNF Oct 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.

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 1

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": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1962046482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192250",
            "telephone_number": "916-454-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "SANOFSKY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-454-4700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.pointclickcare.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Clinical Software",
            "address_1": "4700 Elvas Ave",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958192250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sherwood Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.