Active NPI
Loudon Opco LLC
Doing business as River Grove Health and Rehabilitation
- Skilled Nursing Facility
- Loudon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1990
- Medicare certification status
- Active
- Certified beds
- 180
- 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 |
|---|---|---|---|
| 44D0701482 | Loudon Opco LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Smith | Operational/Managerial Control | Oct 20, 2025 | |
| Adp of the SNF | Oct 20, 2025 | ||
| SHNZ Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 95% |
| Indirect Ownership Interest | Dec 1, 2021 | 95% | |
| Mick Vujanovic | Corporate Officer | Jan 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Indirect Ownership Interest | Jan 1, 2020 | 2.5% | |
| Teresa M Salazar-Catron | Managing Control - Governing Body | Oct 1, 2025 | |
| Adp of the SNF | Oct 1, 2025 | ||
| TN M53 Spe Opco Holdco LLC | 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 | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 100% |
| Indirect Ownership Interest | Dec 1, 2021 | 100% | |
| Zanziper Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 47.5% |
| Indirect Ownership Interest | Dec 1, 2021 | 47.5% | |
| HC Family Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 47.5% |
| Indirect Ownership Interest | Dec 1, 2021 | 47.5% | |
| Sweet Home Management LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2021 | 5% |
| Indirect Ownership Interest | Dec 1, 2021 | 5% | |
| Clearview Healthcare Management TN LLC | 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.
-
- Hospitalist Physician
- Maryville, TN
- NPI 1588741680
Adp of the SNF, Managing Control - Governing Body
Facilities with the same owner 64
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Smith County Health and Rehabilitation
- Skilled Nursing Facility
- Carthage, TN
- NPI 1760041032
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, TN M53 Spe Opco Holdco LLC, Zanziper Family Trust
-
dba Collierville Nursing and Rehabilitation
- Skilled Nursing Facility
- Collierville, TN
- NPI 1114400975
Clearview Healthcare Management TN LLC
-
dba Magnolia Creek Nursing and Rehabilitation
- Skilled Nursing Facility
- Covington, TN
- NPI 1881191450
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Fairpark Health and Rehabilitation
- Skilled Nursing Facility
- Maryville, TN
- NPI 1528627791
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, TN M53 Spe Opco Holdco LLC, Zanziper Family Trust
-
dba Willow Branch Health and Rehabilitation
- Skilled Nursing Facility
- McMinnville, TN
- NPI 1295350510
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Midtown Center For Health and Rehabilitation
- Skilled Nursing Facility
- Memphis, TN
- NPI 1134636384
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Mt. Pleasant Health and Rehabilitation
- Skilled Nursing Facility
- Mt Pleasant, TN
- NPI 1114562352
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, TN M53 Spe Opco Holdco LLC, Zanziper Family Trust
-
dba The Palace Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Red Boiling Springs, TN
- NPI 1114571627
Clearview Healthcare Management TN LLC, HC Family Trust, Zanziper Family Trust
-
dba Soddy-Daisy Healthcare Center
- Skilled Nursing Facility
- Soddy Daisy, TN
- NPI 1487279709
Clearview Healthcare Management TN LLC, Clearview TN SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
dba Eastland Nursing Center
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1518435650
HC Family Trust, SHNZ Holdings LLC, Zanziper Family Trust
-
dba Concord Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Concord, NC
- NPI 1871143305
HC Family Trust, SHNZ Holdings LLC, Zanziper Family Trust
-
dba Mooresville Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Mooresville, NC
- NPI 1659849701
HC Family Trust, SHNZ Holdings LLC, Zanziper Family Trust
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.
-
- Internal Medicine Physician
- Loudon, TN
- NPI 1881655066
-
- Internal Medicine Physician
- Loudon, TN
- NPI 1700847985
-
- Hospitalist Physician
- Maryville, TN
- NPI 1588741680
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
- 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.