Shady Lawn Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SHADY LAWN OPCO LLC

Doing business as

Shady Lawn Nursing and Rehabilitation Center

Practice address

2582 Cerulean Rd
Cadiz, KY 42211-9605

Phone

(270) 522-3236

Fax

(270) 522-0825

NPI assigned

Oct 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moshe Kelman

Title

Managing Member

Phone

(270) 522-3236

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shady Lawn Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Skilled nursing facility certification: CCN 185252

Legal name

SHADY LAWN OPCO LLC

Doing business as

SHADY LAWN NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 12, 1991

Last certification

Nov 17, 2021

Beds

50

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Apr 27, 2018 in KY

Enrollment address

2582 Cerulean Rd
Cadiz, KY 42211-9605

Nursing home name

SHADY LAWN NURSING AND REHABILITATION CENTER

Affiliated entity

BENJAMIN LANDA

Listed as

Shady Lawn Nursing and Rehabilitation CenterCCN 185252 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 12, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5043.7 residents per day on average

Chain

Benjamin Landa48 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.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vaishali Harshul Patel, MD

  • Family Medicine Physician
  • Cadiz, KY
  • NPI 1942437603
  NPD (past)
• David R Zetter, MD

  • General Practice Physician
  • Arlington, KY
  • NPI 1598711756
  NPD (past)

Affiliated clinicians 1

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

• Vaishali Harshul Patel, MD

  • Family Medicine Physician
  • Cadiz, KY
  • NPI 1942437603

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1720563034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2582 CERULEAN RD",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119605",
            "telephone_number": "270-522-3236",
            "fax_number": "270-522-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2582 CERULEAN RD",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119605",
            "telephone_number": "270-522-3236",
            "fax_number": "270-522-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY LAWN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "KELMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "270-522-3236"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "100396",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100584170",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.shadylawnnursingandrehab.com/",
            "affiliation": "N",
            "address_1": "2582 Cerulean Rd",
            "city": "Cadiz",
            "state": "KY",
            "country_code": "US",
            "postal_code": "422119605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shady Lawn Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shady Lawn Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Rush
• Christopher Allen Rushing
• Andrew C Rutherford, PA-C
• Save-on Drugs of Cadiz Inc (Save-on Drugs)
• Rebecca Ann Sexton, PT
• Shea Godwin MD PSC (Godwin Family Practice)
• Charlene Cox Sheehan, CCC/SLP
• Jennifer Rhea Shown, PHARMD
• Madison Simpson, PT, DPT
• Marsha Dawn Spain, OTR/L

• Skilled Nursing Facility in Cadiz, KY
• Providers in Cadiz, 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 Sep 1, 2022; 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.