Jeffersontown Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JEFFERSONTOWN OPCO, LLC

Doing business as

Jeffersontown Rehabilitation

Practice address

3500 Good Samaritan Way
Jeffersontown, KY 40299-6117

Phone

(502) 267-7403

NPI assigned

Apr 10, 2018

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

• Jeffersontown 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 1629575295. Details of each certification follow.

• CCN 185268 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185268

Legal name

JEFFERSONTOWN OPCO, LLC

Doing business as

JEFFERSONTOWN REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1991

Last certification

Aug 2, 2024

Beds

98

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Clearview Healthcare Management

Organization structure

LLCProprietary

Incorporated

Mar 14, 2018 in KY

Enrollment address

3500 Good Samaritan Way
Jeffersontown, KY 40299-6117

Nursing home name

JEFFERSONTOWN REHABILITATION

Affiliated entity

SIMCHA HYMAN & NAFTALI ZANZIPER

Listed as

Jeffersontown RehabilitationCCN 185268 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 1, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9889.8 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

Locations

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.

Owners & managing parties with NPI records 1

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

• Sandeep Kapoor, M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1043264641

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  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, 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, 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, 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, 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, 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, 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, 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.

• Sandeep Kapoor, M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1043264641
  NPD (past)
• Osawaru Jude Omoruyi, M.D

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1396961967
  NPD (past)

Affiliated clinicians 1

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

• Sandeep Kapoor, M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1043264641

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1629575295",
    "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": "3500 GOOD SAMARITAN WAY",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402996117",
            "telephone_number": "502-267-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONTOWN OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "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": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffersontown Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ebboni Johnson, TCADC
• Caroline Sue Jones, LPN
• Amanda M Kemp
• William E Kemper, DMD
• Kentucky CVS Pharmacy, L.L.C (CVS Pharmacy # 06217)

• Skilled Nursing Facility in Jeffersontown, KY
• Providers in Jeffersontown, 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.