Active NPI
Princeton Ky Opco LLC
Doing business as Princeton Nursing & Rehabilitation
- Skilled Nursing Facility
- Princeton, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PRINCETON KY OPCO LLC
- Doing business as
- Princeton Nursing & Rehabilitation
- Practice address
- 1333 W Main St
Princeton, KY 42445-6211 - Phone
- (270) 365-3541
- NPI assigned
- Sep 17, 2019
- Last updated
- Oct 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mick Vujanovic
- Title
- Ceo
- Phone
- (502) 667-8150
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1333 W Main St
Princeton, KY 42445-6211
Mailing address
2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600
Phone (502) 667-8150
Other names 1
- Princeton Nursing & Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200204000932 | KY | Part A Provider - Skilled Nursing Facility | 1052747490 | Practice locations: Princeton, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1164072682. Details of each certification follow.
Skilled nursing facility certification: CCN 185316A
- Legal name
- PRINCETON KY OPCO LLC
- Doing business as
- PRINCETON NURSING & REHABILITATION
- Organization structure
- LLC
- Incorporated
- Aug 20, 2019 in KY
- Enrollment address
- 1333 W Main St
Princeton, KY 42445-6211 - Nursing home name
- PRINCETON NURSING & REHABILITATION
- Affiliated entity
- SIMCHA HYMAN & NAFTALI ZANZIPER
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| SHNZ Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 95% |
| Mick Vujanovic | Corporate Officer | Dec 1, 2021 | |
| Operational/Managerial Control | Dec 1, 2021 | ||
| Clearview Ky SNF Holdco LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 100% |
| Clearview Healthcare Management Ky LLC | Operational/Managerial Control | Jan 1, 2020 | |
| Zanziper Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 47.5% |
| Amanda Coleman | W-2 Managing Employee | Oct 1, 2019 | |
| HC Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 47.5% |
| Sweet Home Management LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 5% |
| Ky M53 Spe Opco Holdco LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2021 | 100% |
Facilities with the same owner 67
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Mills Nursing & Rehabilitation
- Skilled Nursing Facility
- Mayfield, KY
- NPI 1356991871
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, Ky M53 Spe Opco Holdco LLC, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Bedford Springs Health and Rehabilitation
- Skilled Nursing Facility
- Bedford, KY
- NPI 1033744834
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Clinton Place
- Skilled Nursing Facility
- Clinton, KY
- NPI 1679040869
Clearview Healthcare Management Ky LLC
-
dba Cherokee Park Rehabilitation
- Skilled Nursing Facility
- Louisville, KY
- NPI 1194232082
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, Ky M53 Spe Opco Holdco LLC, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Countryside Center for Rehabilitation and Nursing
- Skilled Nursing Facility
- Bardwell, KY
- NPI 1972003721
Clearview Ky SNF Holdco LLC, HC Family Trust, Ky M53 Spe Opco Holdco LLC, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Sycamore Heights Health and Rehabilitation
- Skilled Nursing Facility
- Louisville, KY
- NPI 1053818682
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Fair Oaks Health and Rehabilitation
- Skilled Nursing Facility
- Jamestown, KY
- NPI 1740812288
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, Ky M53 Spe Opco Holdco LLC, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Green Acres Healthcare
- Skilled Nursing Facility
- Mayfield, KY
- NPI 1093350233
Clearview Ky SNF Holdco LLC, HC Family Trust, Ky M53 Spe Opco Holdco LLC, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Fulton Nursing and Rehabilitation
- Skilled Nursing Facility
- Fulton, KY
- NPI 1053888248
Clearview Healthcare Management Ky LLC
-
dba Glenview Health and Rehab
- Skilled Nursing Facility
- Glasgow, KY
- NPI 1538742895
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Maple Health and Rehabilitation
- Skilled Nursing Facility
- Greenville, KY
- NPI 1730748914
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, Ky M53 Spe Opco Holdco LLC, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Bradford Heights Nursing & Rehabilitation
- Skilled Nursing Facility
- Hopkinsville, KY
- NPI 1801446323
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, Ky M53 Spe Opco Holdco LLC, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Eddyville, KY
- NPI 1649336306
-
- Internal Medicine Physician
- Princeton, KY
- NPI 1831202738
-
- Pulmonary Disease Physician
- Hopkinsville, KY
- NPI 1659336097
-
- Family Medicine Physician
- Kuttawa, KY
- NPI 1174513915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1164072682",
"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": "1333 W MAIN ST",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424456211",
"telephone_number": "270-365-3541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCETON KY OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"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": "Princeton Nursing & Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Princeton Nursing & Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Princeton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.