Organization Active NPI

Farthing Mayfield Ky Opco LLC

  • Skilled Nursing Facility
  • Mayfield, KY
National Provider Identifier
1093350233
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FARTHING MAYFIELD KY OPCO LLC
Practice address
402 W Farthing St
Mayfield, KY 42066-2900
Phone
(270) 247-6477
NPI assigned
Nov 12, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mick Vujanovic
Title
Ceo
Phone
(502) 667-8150

Facilities with the same owner 63

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 63

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Green Acres HealthcareCCN 185341
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.6 residents per day on average
Chain
Simcha Hyman & Naftali Zanziper79 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0688663Farthing Mayfield Ky, LLC402 W Farthing Street, Mayfield, KY 42066Certificate of waiverAug 31, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250115002622 KY Part a Provider - Skilled Nursing Facility 5799213948 Practice locations: Mayfield, KY

Skilled nursing facility certification: CCN 185341

Medicare enrollment files
Legal name
FARTHING MAYFIELD KY OPCO LLC
Doing business as
GREEN ACRES HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1992
Last certification
May 26, 2023
Beds
73 (60 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Clearview Healthcare Management
Organization structure
LLCProprietary
Enrollment address
402 W Farthing St
Mayfield, KY 42066-2900
Nursing home name
GREEN ACRES HEALTHCARE
Affiliated entity
SIMCHA HYMAN & NAFTALI ZANZIPER

All disclosed owners & managing parties 9

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara Grooms Individual Corporate DirectorCorporate Ar Director Jul 8, 2024
SHNZ Holdings LLC Organization, Englewood Cliffs, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 1, 2021 95%
Mick Vujanovic Individual Corporate OfficerCeo Dec 1, 2021
Clearview Ky SNF Holdco LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 100%
Zanziper Family Trust Organization, Englewood Cliffs, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 47.5%
HC Family Trust Organization, Englewood Cliffs, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 47.5%
Sweet Home Management LLC Organization, Louisville, KY LLC, Management services company 5% Or Greater Indirect Ownership Interest Dec 1, 2021 5%
Tina Ingrum Individual W-2 Managing EmployeeAd; Apr 14, 2024
Ky M53 Spe Opco Holdco LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2021 100%

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary
Respite Care 385H00000X

Addresses

NPPES NPI Registry

Primary practice location

402 W Farthing St
Mayfield, KY 42066-2900

Mailing address

2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600
Phone (502) 667-8150

Other names 1

NPPES NPI Registry
  • Green Acres Healthcare Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2025.

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1093350233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CHEROKEE RIDGE WAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051600",
            "telephone_number": "502-667-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W FARTHING ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662900",
            "telephone_number": "270-247-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARTHING MAYFIELD KY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "VUJANOVIC",
        "authorized_official_first_name": "MICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-667-8150"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.