Active NPI
Fair Oaks Health and Rehabilitation LLC
Doing business as Fair Oaks Health and Rehabilitation
- Skilled Nursing Facility
- Jamestown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FAIR OAKS HEALTH AND REHABILITATION LLC
- Doing business as
- Fair Oaks Health and Rehabilitation
- Practice address
- 1 Sparks Ave
Jamestown, KY 42629-2449 - Phone
- (270) 343-2101
- NPI assigned
- Feb 11, 2020
- Last updated
- Oct 9, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary | |
| Respite Care | 385H00000X | NU |
Addresses
Primary practice location
1 Sparks Ave
Jamestown, KY 42629-2449
Mailing address
2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600
Phone (502) 667-8150
Other names 1
- Fair Oaks Health and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200519001126 | KY | Part A Provider - Skilled Nursing Facility | 1557792900 | Practice locations: Jamestown, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740812288. Details of each certification follow.
Skilled nursing facility certification: CCN 185286
- Legal name
- FAIR OAKS HEALTH AND REHABILITATION LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 13, 1991
- Last certification
- Apr 17, 2025
- Beds
- 114
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Dec 19, 2019 in KY
- Enrollment address
- 1 Sparks Ave
Jamestown, KY 42629-2449 - Nursing home name
- FAIR OAKS HEALTH AND REHABILITATION
- Affiliated entity
- SIMCHA HYMAN & NAFTALI ZANZIPER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fair Oaks Health and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Aug 13, 1991
- Medicare certification status
- Active
- Certified beds
- 114
- Chain
- Simcha Hyman & Naftali Zanziper
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0702755 | Fair Oaks Health and Rehabilitation LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| SHNZ Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 95% |
| Mick Vujanovic | Corporate Officer | Jul 1, 2021 | |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Clearview Ky SNF Holdco LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 100% |
| Clearview Healthcare Management Ky LLC | Operational/Managerial Control | Jul 1, 2021 | 100% |
| Chelsea Conner | W-2 Managing Employee | Jul 2, 2023 | |
| Zanziper Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 47.5% |
| HC Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 47.5% |
| Sweet Home Management LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 5% |
| Ky M53 Spe Opco Holdco LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2021 | 100% |
Facilities with the same owner 67
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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
-
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
-
dba Clinton Place
- Skilled Nursing Facility
- Clinton, KY
- NPI 1679040869
Clearview Healthcare Management Ky 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
-
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
-
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
-
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
-
dba Fulton Nursing and Rehabilitation
- Skilled Nursing Facility
- Fulton, KY
- NPI 1053888248
Clearview Healthcare Management Ky 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
-
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
-
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
-
dba Jeffersontown Rehabilitation
- Skilled Nursing Facility
- Jeffersontown, KY
- NPI 1629575295
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Medicine Physician
- Jamestown, KY
- NPI 1396746533
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1982605465
-
- Family Medicine Physician
- Jamestown, KY
- NPI 1326046913
-
- Internal Medicine Physician
- Bowling Green, KY
- NPI 1134137144
Affiliated clinicians 3
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": "1581379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1740812288",
"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": "1 SPARKS AVE",
"city": "JAMESTOWN",
"state": "KY",
"postal_code": "426292449",
"telephone_number": "270-343-2101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIR OAKS HEALTH AND REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-11",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fair Oaks Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jamestown, KY
Sources for this page
- 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.