Organization Active NPI

Owenton Ky Opco LLC

  • Skilled Nursing Facility
  • Owenton, KY
National Provider Identifier
1639745391
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OWENTON KY OPCO LLC
Practice address
905 Highway 127 N
Owenton, KY 40359-9302
Phone
(502) 484-5721
NPI assigned
Jun 2, 2021
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

905 Highway 127 N
Owenton, KY 40359-9302

Mailing address

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

Other names 1

  • Owenton Healthcare and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210819002514 KY Part A Provider - Skilled Nursing Facility 4284039884 Practice locations: Owenton, KY

Skilled nursing facility certification: CCN 185364

Legal name
OWENTON KY OPCO LLC
Doing business as
OWENTON HEALTHCARE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 21, 1993
Last certification
Aug 9, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Clearview Healthcare
Organization structure
LLCProprietary
Incorporated
Mar 11, 2021 in KY
Enrollment address
905 Highway 127 N
Owenton, KY 40359-9302
Nursing home name
OWENTON HEALTHCARE AND REHABILITATION
Affiliated entity
SIMCHA HYMAN & NAFTALI ZANZIPER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Owenton Healthcare and RehabilitationCCN 185364
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 21, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10083.9 residents per day on average
Chain
Simcha Hyman & Naftali Zanziper79 facilities in the chain
Penalties (3 years)
1Fines totaling $8,512

Processed by Care Compare on Aug 1, 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 Jul 1, 2021
Operational/Managerial ControlCeo Jul 1, 2021
Clearview Ky SNF Holdco LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%
Clearview Healthcare Management Ky LLC Organization, Louisville, KY LLC, Management services company, For-profit Operational/Managerial Control Jul 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%
Christina a. Johnson Individual Contracted Managing EmployeeMD; Apr 1, 2023
Kayla Randall Individual W-2 Managing EmployeeAd; Jun 20, 2022

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 67

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

View all 67

Practitioners & affiliated clinicians

Practitioners 4

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": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1639745391",
    "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": "905 HIGHWAY 127 N",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599302",
            "telephone_number": "502-484-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENTON KY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "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": "Owenton Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owenton, KY

Sources for this page

Verify at the official NPI Registry.