Cottons LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9931441243 Enrollment ID O20190506002241

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 1 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Matthew Jackson7113153925Individual5% or Greater Indirect Ownership Interest; Corporate Director; Operational/Managerial Control33.33
Robert Jackson7911285457Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control33.33
Jack Sanofsky8628205333Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control33.33
Dmitrii Barkovskii2961903901IndividualOperational/Managerial Control; ADP of the SNF
Christian G Reyna8628305653IndividualOperational/Managerial Control; ADP of the SNF
Mai Lee3870094816IndividualOperational/Managerial Control; ADP of the SNF
Irina Klimovich4789185729IndividualOperational/Managerial Control; ADP of the SNF
Lyubov Fastovich5698276632IndividualOperational/Managerial Control; ADP of the SNF
Olga Trukhan0143721183IndividualOperational/Managerial Control; ADP of the SNF
Myla Pastrano-oclarino9234630278IndividualOperational/Managerial Control; ADP of the SNF
Alicia Portela8325549363IndividualOperational/Managerial Control; ADP of the SNF
Rebecca Beam1052812096IndividualOperational/Managerial Control; ADP of the SNF
Cypress Healthcare Group LLC0143562488Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest100

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Woodside Healthcare Center
Cottons LLC
55 residents
Other disclo…
4.42Ovr★★★★★Stf★★★★Ins★★★★QM★★★★★55

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
03/20/2019Woodside Healthcare CenterCottons LLCW.H.C., IncBuyer
  1. 03/20/2019
    W.H.C., IncCottons LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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