Active NPI
Shelbyville Ky Opco LLC
- Skilled Nursing Facility
- Shelbyville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SHELBYVILLE KY OPCO LLC
- Practice address
- 1871 Midland TRL
Shelbyville, KY 40065-9111 - Phone
- (502) 633-2454
- NPI assigned
- Jun 2, 2021
- 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
1871 Midland TRL
Shelbyville, KY 40065-9111
Mailing address
2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600
Phone (502) 667-8150
Other names 1
- Crestview 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 |
|---|---|---|---|---|
| O20210920000686 | KY | Part A Provider - Skilled Nursing Facility | 0042617011 | Practice locations: Shelbyville, KY |
Skilled nursing facility certification: CCN 185409
- Legal name
- SHELBYVILLE KY OPCO LLC
- Doing business as
- CRESTVIEW HEALTHCARE AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 5, 1995
- Last certification
- Oct 3, 2024
- Beds
- 58
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Clearview Healthcare Management
- Organization structure
- LLC
- Incorporated
- Mar 11, 2021 in KY
- Enrollment address
- 1871 Midland TRL
Shelbyville, KY 40065-9111 - Nursing home name
- CRESTVIEW HEALTHCARE AND REHABILITATION
- Affiliated entity
- SIMCHA HYMAN & NAFTALI ZANZIPER
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 | Jul 1, 2021 | 95% |
| Mick Vujanovic | Corporate Officer | Jul 1, 2021 | |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Steve McKinley | W-2 Managing Employee | Jul 1, 2021 | |
| Clearview Ky SNF Holdco LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2021 | 100% |
| Clearview Healthcare Management Ky LLC | Operational/Managerial Control | Jul 1, 2021 | 100% |
| 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% |
| Sandeep Kapoor | Contracted Managing Employee | Apr 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1043264641
Contracted Managing Employee
Facilities with the same owner 67
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Mayfield, KY
- NPI 1356991871
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
- 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
-
- Skilled Nursing Facility
- Clinton, KY
- NPI 1679040869
Clearview Healthcare Management Ky LLC
-
- Skilled Nursing Facility
- Louisville, KY
- NPI 1194232082
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
- Skilled Nursing Facility
- Bardwell, KY
- NPI 1972003721
Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
- 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
-
- Skilled Nursing Facility
- Jamestown, KY
- NPI 1740812288
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
- Skilled Nursing Facility
- Mayfield, KY
- NPI 1093350233
Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
- Skilled Nursing Facility
- Fulton, KY
- NPI 1053888248
Clearview Healthcare Management Ky LLC
-
- 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
-
- Skilled Nursing Facility
- Greenville, KY
- NPI 1730748914
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
-
- Skilled Nursing Facility
- Hopkinsville, KY
- NPI 1801446323
Clearview Healthcare Management Ky LLC, Clearview Ky SNF Holdco LLC, HC Family Trust, SHNZ Holdings LLC, Sweet Home Management LLC, Zanziper Family Trust
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1043264641
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Crestview Healthcare and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 5, 1995
- Medicare certification status
- Active
- Certified beds
- 58
- Chain
- Simcha Hyman & Naftali Zanziper
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1982270641",
"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": "1871 MIDLAND TRL",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400659111",
"telephone_number": "502-633-2454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBYVILLE KY OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-02",
"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": "Crestview Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shelbyville, 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.