Glockston LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6608216197 Enrollment ID O20240501001702

Details

Linked facilitiesFacilities
1
StatesStates
1

12 parties: 1 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Cypress Healthcare Group LLC0143562488Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Jack Sanofsky8628205333Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control33.33
Matthew Jackson7113153925Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control33.33
Robert Jackson7911285457Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control33.33
Jamie Jones6507388915IndividualOperational/Managerial Control; ADP of the SNF
Roxanna Amaton7315469723IndividualOperational/Managerial Control; ADP of the SNF
Jamie Davidson6406378819IndividualADP of the SNF
Joshua Pascarella2860914272IndividualADP of the SNF
Michelle Nobile9133641541IndividualADP of the SNF
Stacie Dobler5597287904IndividualADP of the SNF
Sukhwinder Singh0840593901IndividualADP of the SNF
Suzette Cokinos3779005186IndividualADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Auburn Ravine Healthcare Center
Glockston LLC
56 residents
Other disclo…
3.98Ovr★★★★★Stf★★★☆☆Ins★★★★QM★★★★★56

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
02/29/2024Auburn Ravine Healthcare CenterGlockston LLCCongregational Church Retirement CommunityBuyer
  1. 02/29/2024
    Congregational Church Retirement CommunityGlockston LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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