Active NPI
McMinnville TN Opco LLC
Doing business as Willow Branch Health and Rehabilitation
- Skilled Nursing Facility
- McMinnville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MCMINNVILLE TN OPCO LLC
- Doing business as
- Willow Branch Health and Rehabilitation
- Practice address
- 415 Pace St
McMinnville, TN 37110-1246 - Phone
- (931) 668-2011
- NPI assigned
- Jun 11, 2020
- 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 | NU | Primary | |
| Respite Care | 385H00000X | NU |
Addresses
Primary practice location
415 Pace St
McMinnville, TN 37110-1246
Mailing address
2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600
Phone (502) 667-8150
Other names 1
- Willow Branch Health and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210322002262 | TN | Part A Provider - Skilled Nursing Facility | 7214344183 | Practice locations: McMinnville, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1295350510. Details of each certification follow.
Skilled nursing facility certification: CCN 445216
- Legal name
- MCMINNVILLE TN OPCO LLC
- Doing business as
- WILLOW BRANCH HEALTH AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 15, 1988
- Last certification
- Apr 30, 2025
- Beds
- 140
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Mar 1, 2005
- Organization structure
- LLC
- Incorporated
- May 8, 2020 in TN
- Enrollment address
- 415 Pace St
McMinnville, TN 37110-1246 - Nursing home name
- WILLOW BRANCH HEALTH AND REHABILITATION
- Affiliated entity
- SIMCHA HYMAN & NAFTALI ZANZIPER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Willow Branch Health and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 15, 1988
- Medicare certification status
- Active
- Certified beds
- 140
- Chain
- Simcha Hyman & Naftali Zanziper
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0980829 | McMinnville TN Opco LLC | Certificate of waiver | Dec 4, 2026 |
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 | Jan 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Indirect Ownership Interest | Jan 1, 2020 | 2.5% | |
| Clearview TN SNF Holdco LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2021 | 100% |
| Zanziper Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 47.5% |
| Adp of the SNF | Dec 1, 2021 | ||
| HC Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 47.5% |
| Adp of the SNF | Dec 1, 2021 | ||
| Sweet Home Management LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 5% |
| Indirect Ownership Interest | Dec 1, 2021 | 5% | |
| Clearview Healthcare Management TN LLC | Operational/Managerial Control | Dec 1, 2021 | 100% |
| Adp of the SNF | Mar 4, 2026 | ||
| Jessica Cope | Operational/Managerial Control | Jul 7, 2025 | |
| Adp of the SNF | Jul 7, 2025 | ||
| Homer E Kirby | Managing Control - Governing Body | Dec 1, 2021 | |
| Adp of the SNF | Dec 1, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- McMinnville, TN
- NPI 1144221391
Adp of the SNF, Managing Control - Governing Body
Facilities with the same owner 64
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Smith County Health and Rehabilitation
- Skilled Nursing Facility
- Carthage, TN
- NPI 1760041032
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Collierville Nursing and Rehabilitation
- Skilled Nursing Facility
- Collierville, TN
- NPI 1114400975
Clearview Healthcare Management TN LLC
-
dba Magnolia Creek Nursing and Rehabilitation
- Skilled Nursing Facility
- Covington, TN
- NPI 1881191450
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba River Grove Health and Rehabilitation
- Skilled Nursing Facility
- Loudon, TN
- NPI 1740849918
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Fairpark Health and Rehabilitation
- Skilled Nursing Facility
- Maryville, TN
- NPI 1528627791
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Midtown Center For Health and Rehabilitation
- Skilled Nursing Facility
- Memphis, TN
- NPI 1134636384
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Mt. Pleasant Health and Rehabilitation
- Skilled Nursing Facility
- Mt Pleasant, TN
- NPI 1114562352
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba The Palace Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Red Boiling Springs, TN
- NPI 1114571627
Clearview Healthcare Management TN LLC, HC Family Trust, Zanziper Family Trust
-
dba Soddy-Daisy Healthcare Center
- Skilled Nursing Facility
- Soddy Daisy, TN
- NPI 1487279709
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Eastland Nursing Center
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1518435650
HC Family Trust, SHNZ Holdings LLC, Zanziper Family Trust
-
dba Concord Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Concord, NC
- NPI 1871143305
HC Family Trust, SHNZ Holdings LLC, Zanziper Family Trust
-
dba Mooresville Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Mooresville, NC
- NPI 1659849701
HC Family Trust, SHNZ Holdings LLC, Zanziper Family Trust
Practitioners & affiliated clinicians
Practitioners 1
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
- McMinnville, TN
- NPI 1144221391
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1295350510",
"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": "415 PACE ST",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371101246",
"telephone_number": "931-668-2011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMINNVILLE TN OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-11",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Willow Branch Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McMinnville, TN
- McMinnville Pain Relief Center
- McMinnville Physical Therapy, LLC
- McMinnville Recovery Center (A.M.C. of McMinnville)
- McMinnville Residential, LLC (Riverview Terrace)
- McMinnville Smiles, PLLC
- McMinnville Warren County Senior Center, Inc.
- Jeffrey K McVey, DO
- Christy Medley, RN
- Heather Dian Meeks, PTA
- Dennis William Merski, D.O.
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.