Russellville Ky Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RUSSELLVILLE KY OPCO LLC

Doing business as

Creekwood Nursing & Rehabilitation

Practice address

107 Boyles Dr
Russellville, KY 42276-8838

Phone

(270) 726-9049

NPI assigned

Sep 17, 2019

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Creekwood Nursing & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346890878. Details of each certification follow.

• CCN 185313 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185313

Legal name

RUSSELLVILLE KY OPCO LLC

Doing business as

CREEKWOOD NURSING & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1992

Last certification

Oct 31, 2024

Beds

104

Ownership / control type

Corporation

Multi-facility organization

Clearview Healthcare Management

Organization structure

LLCProprietary

Incorporated

Aug 20, 2019 in KY

Enrollment address

107 Boyles Dr
Russellville, KY 42276-8838

Nursing home name

CREEKWOOD NURSING & REHABILITATION

Affiliated entity

SIMCHA HYMAN & NAFTALI ZANZIPER

Listed as

Creekwood Nursing & RehabilitationCCN 185313 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10494.6 residents per day on average

Chain

Simcha Hyman & Naftali Zanziper79 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Manoj H Majmudar, MD

  • Pulmonary Disease Physician
  • Hopkinsville, KY
  • NPI 1659336097

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 67

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

• Beck Mayfield Opco LLC

  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

  CMS ownership
• Bedford Ky Opco LLC

  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

  CMS ownership
• Birchwood Nursing and Rehabilitation LLC

  dba Clinton Place

  • Skilled Nursing Facility
  • Clinton, KY
  • NPI 1679040869

  Clearview Healthcare Management Ky LLC

  CMS ownership
• Cherokee Park Rehabilitation, 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

  CMS ownership
• Countryside Center for Rehabilitation and Nursing, LLC

  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

  CMS ownership
• CV Louisville Opco I, LLC

  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

  CMS ownership
• Fair Oaks Health and Rehabilitation LLC

  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

  CMS ownership
• Farthing Mayfield Ky Opco LLC

  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

  CMS ownership
• Fulton Nursing and Rehabilitation LLC

  dba Fulton Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Fulton, KY
  • NPI 1053888248

  Clearview Healthcare Management Ky LLC

  CMS ownership
• Glasgow Ky Opco 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

  CMS ownership
• Greenville Ky Opco LLC

  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

  CMS ownership
• Hopkinsville Ky Opco LLC

  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

  CMS ownership

Practitioners 2

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.

• Patrick Kevin Hayden, M.D.

  • Family Medicine Physician
  • Russellville, KY
  • NPI 1295847184
  NPD (past)
• Manoj H Majmudar, MD

  • Pulmonary Disease Physician
  • Hopkinsville, KY
  • NPI 1659336097
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Patrick Kevin Hayden, M.D.

  • Family Medicine Physician
  • Russellville, KY
  • NPI 1295847184

  Nursing home

  Care Compare affiliation
• Manoj H Majmudar, MD

  • Pulmonary Disease Physician
  • Hopkinsville, KY
  • NPI 1659336097

  Nursing home

  Care Compare affiliation

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": "1346890878",
    "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": "502-438-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BOYLES DR",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768838",
            "telephone_number": "270-726-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE 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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekwood Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creekwood Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Russellville, KY
• Providers in Russellville, KY by specialty
• Skilled Nursing Facility in Kentucky

• 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.

Verify at the official NPI Registry.