Organization Active NPI

Fair Oaks Health and Rehabilitation LLC

Doing business as Fair Oaks Health and Rehabilitation

  • Skilled Nursing Facility
  • Jamestown, KY
National Provider Identifier
1740812288
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
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 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RehabilitationCCN 185286 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Aug 13, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
114100.6 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
18D0702755Fair Oaks Health and Rehabilitation LLC1 Sparks Avenue, Jamestown, KY 42629Certificate of waiverAug 31, 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 Indirect Ownership Interest Dec 1, 2021 100%
Clearview Healthcare Management Ky LLC Organization, Louisville, KY LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2021 100%
Chelsea Conner Individual W-2 Managing EmployeeAd; Jul 2, 2023
Zanziper Family Trust Organization, Englewood Cliffs, NJ 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%
Ky M53 Spe Opco Holdco LLC Organization, Louisville, KY LLC, Holding company, For-profit 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.

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, and the practitioner matching its NPPES authorized official.

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

Verify at the official NPI Registry.