Maltique, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3173958139 Enrollment ID O20200121001961

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 1 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Jack Sanofsky8628205333Individual5% or Greater Indirect Ownership Interest; Corporate Director; Operational/Managerial Control33.33
Matthew Jackson7113153925Individual5% or Greater Indirect Ownership Interest; Corporate Director; Operational/Managerial Control33.33
Robert Jackson7911285457Individual5% or Greater Indirect Ownership Interest; Corporate Director; Operational/Managerial Control33.33
Marianna Abrego3476051764IndividualOperational/Managerial Control; ADP of the SNF
Victoria Leung5294233581IndividualOperational/Managerial Control; ADP of the SNF
Maria Nunez2567960859IndividualOperational/Managerial Control; ADP of the SNF
Stacy Belton6103324496IndividualOperational/Managerial Control; ADP of the SNF
Dustin Murray1658879945IndividualOperational/Managerial Control; ADP of the SNF
Milan Cepec4385142678IndividualOperational/Managerial Control; ADP of the SNF
Augusto Sandigo8820596117IndividualOperational/Managerial Control; ADP of the SNF
Sherin Sharma7911405204IndividualOperational/Managerial Control; ADP of the SNF
Faraz R Zaidi4385785393IndividualOperational/Managerial Control; ADP of the SNF
Cypress Healthcare Group LLC0143562488Organization5% or Greater Direct Ownership Interest100

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Sherwood Healthcare Center
Maltique, LLC
58 residents
Other disclo…
3.97Ovr★★★★★Stf★★★☆☆Ins★★★★QM★★★★★58
  • Maltique, LLC
    Other disclosed role58 res3.97 HPRD
    Overall 5Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
10/01/2019Sherwood Healthcare CenterMaltique, LLCS.H.C.C. , Inc.Buyer
  1. 10/01/2019
    S.H.C.C. , Inc.Maltique, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Maltique, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.