Organization Active NPI

Loudon Opco LLC

Doing business as River Grove Health and Rehabilitation

  • Skilled Nursing Facility
  • Loudon, TN
National Provider Identifier
1740849918
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LOUDON OPCO LLC
Doing business as
River Grove Health and Rehabilitation
Practice address
1520 Grove St
Loudon, TN 37774-1575
Phone
(865) 458-5436
NPI assigned
Jun 11, 2019
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 Primary
Respite Care 385H00000X

Addresses

Primary practice location

1520 Grove St
Loudon, TN 37774-1575

Mailing address

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

Other names 1

  • River Grove Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191107000712 TN Part A Provider - Skilled Nursing Facility 4486086709 Practice locations: Loudon, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740849918. Details of each certification follow.

Skilled nursing facility certification: CCN 445253

Legal name
LOUDON OPCO LLC
Doing business as
RIVER GROVE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1990
Last certification
May 2, 2024
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Clearview Healthcare Management
Organization structure
LLCProprietary
Enrollment address
1520 Grove St
Loudon, TN 37774-1575
Nursing home name
RIVER GROVE HEALTH AND REHABILITATION
Affiliated entity
SIMCHA HYMAN & NAFTALI ZANZIPER

Care Compare: Nursing home

Medicare Care Compare
Listed as
River Grove Health and RehabilitationCCN 445253 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
18097.5 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
44D0701482Loudon Opco LLC1520 Grove St, Loudon, TN 37774Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Laura Smith Individual Operational/Managerial Control Oct 20, 2025
Adp of the SNF Oct 20, 2025
SHNZ Holdings LLC Organization, Englewood Cliffs, NJ LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 95%
Indirect Ownership Interest Dec 1, 2021 95%
Mick Vujanovic Individual Corporate OfficerCeo Jan 1, 2020
Operational/Managerial ControlCeo Jan 1, 2020
Adp of the SNF Jan 1, 2020
Indirect Ownership Interest Jan 1, 2020 2.5%
Teresa M Salazar-Catron Individual Managing Control - Governing BodyMedical Director Oct 1, 2025
Adp of the SNF Oct 1, 2025
TN M53 Spe Opco Holdco LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2021 100%
Adp of the SNF Feb 27, 2026
Direct Ownership Interest Dec 1, 2021 100%
Clearview TN SNF Holdco LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 100%
Indirect Ownership Interest Dec 1, 2021 100%
Zanziper Family Trust Organization, Englewood Cliffs, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2021 47.5%
Indirect Ownership Interest Dec 1, 2021 47.5%
HC Family Trust Organization, Englewood Cliffs, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2021 47.5%
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%
Indirect Ownership Interest Dec 1, 2021 5%
Clearview Healthcare Management TN LLC Organization, Louisville, KY Management services company, For-profit Operational/Managerial Control Dec 1, 2021 100%
Adp of the SNF Feb 27, 2026

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 64

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

View all 64

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1740849918",
    "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": "1520 GROVE ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741575",
            "telephone_number": "865-458-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDON OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Grove Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Grove Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loudon, TN

Sources for this page

Verify at the official NPI Registry.