Organization Active NPI

Soddy-Daisy TN Opco LLC

Doing business as Soddy-Daisy Healthcare Center

  • Skilled Nursing Facility
  • Soddy Daisy, TN
National Provider Identifier
1487279709
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SODDY-DAISY TN OPCO LLC
Doing business as
Soddy-Daisy Healthcare Center
Practice address
701 Sequoyah Rd
Soddy Daisy, TN 37379-4051
Phone
(423) 332-0060
NPI assigned
Jun 11, 2020
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 Primary
Respite Care 385H00000X

Addresses

Primary practice location

701 Sequoyah Rd
Soddy Daisy, TN 37379-4051

Mailing address

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

Other names 1

  • Soddy-Daisy Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210312000062 TN Part A Provider - Skilled Nursing Facility 2062828296 Practice locations: Soddy Daisy, TN

Skilled nursing facility certification: CCN 445408

Legal name
SODDY-DAISY TN OPCO LLC
Doing business as
SODDY-DAISY HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 5, 1998
Last certification
May 4, 2022
Beds
134
Ownership / control type
Corporation
Multi-facility organization
clearview healthcare management
Organization structure
LLCProprietary
Incorporated
Aug 1, 2020 in TN
Enrollment address
701 Sequoyah Rd
Soddy Daisy, TN 37379-4051
Nursing home name
SODDY-DAISY HEALTH CARE CENTER
Affiliated entity
SIMCHA HYMAN & NAFTALI ZANZIPER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Soddy-Daisy Health Care CenterCCN 445408 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 5, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13492.3 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
44D0937044Soddy-Daisy TN Opco LLC701 Sequoyah Rd, Soddy Daisy, TN 37379Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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 Dec 1, 2020
Operational/Managerial ControlCeo Dec 1, 2020
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%
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, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 5%
Clearview Healthcare Management TN LLC Organization, Louisville, KY Management services company, For-profit Operational/Managerial Control Dec 16, 2020 100%
Adp of the SNF Dec 2, 2024
Wesley J Clifton Individual W-2 Managing EmployeeAd; Oct 10, 2024
Adp of the SNF Dec 2, 2024

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.

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": "1487279709",
    "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": "701 SEQUOYAH RD",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794051",
            "telephone_number": "423-332-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODDY-DAISY 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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soddy-Daisy Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soddy Daisy, TN

Sources for this page

Verify at the official NPI Registry.