Organization Active NPI

McMinnville TN Opco LLC

Doing business as Willow Branch Health and Rehabilitation

  • Skilled Nursing Facility
  • McMinnville, TN
National Provider Identifier
1295350510
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RehabilitationCCN 445216 · All quality measures
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
Dec 15, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14084.3 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
44D0980829McMinnville TN Opco LLC415 Pace Street, McMinnville, TN 37110Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
SHNZ Holdings LLC Organization, Englewood Cliffs, NJ LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 95%
Mick Vujanovic Individual Corporate OfficerCeo Jan 1, 2020
Operational/Managerial ControlCeo Jan 1, 2020
Adp of the SNF Jan 1, 2020
Indirect Ownership Interest Jan 1, 2020 2.5%
Clearview TN SNF Holdco LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct 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%
Adp of the SNF Dec 1, 2021
HC Family Trust Organization, Englewood Cliffs, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 47.5%
Adp of the SNF Dec 1, 2021
Sweet Home Management LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 5%
Indirect Ownership Interest Dec 1, 2021 5%
Clearview Healthcare Management TN LLC Organization, Louisville, KY Management services company, For-profit Operational/Managerial Control Dec 1, 2021 100%
Adp of the SNF Mar 4, 2026
Jessica Cope Individual Operational/Managerial Control Jul 7, 2025
Adp of the SNF Jul 7, 2025
Homer E Kirby Individual Managing Control - Governing BodyMedical Director 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.

Facilities with the same owner 64

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

View all 64

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.

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

Sources for this page

Verify at the official NPI Registry.