JEFFERSONTOWN REHABILITATION
NPI 1629575295
Skilled Nursing Facility in Jeffersontown, KY

Active since April 10, 2018CLIA 18D0322304 · Waiver
2/5
Overall Rating
3500 GOOD SAMARITAN WAY, JEFFERSONTOWN, KY 40299(502) 267-7403 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2024, Nov 6, 2018, Apr 16, 2018 and 1 more (4 updates tracked since 2018).

About Jeffersontown Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSONTOWN REHABILITATION (NPI 1629575295) is a healthcare organization registered as a skilled nursing facility in Jeffersontown, Kentucky and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mick Vujanovic, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629575295
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJEFFERSONTOWN OPCO, LLC
Location Address3500 GOOD SAMARITAN WAYJeffersontown, KY 40299-6117
Mailing Address2100 Cherokee Ridge Way Ste 100Louisville, KY 40205-1600 · (502) 667-8150
Organization SubpartNo
Authorized OfficialMick VujanovicCeo · (502) 667-8150
Enumeration DateApril 10, 2018
Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
NPI 1629575295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedRespite CareTaxonomy 385H00000X
3500 GOOD SAMARITAN WAY, Jeffersontown, KY 40299

Other Names 1

Doing Business AsJeffersontown Rehabilitation

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0322304

Jeffersontown Rehabilitation · Jeffersontown, KY
Active · expires Aug 31, 2026
CLIA Number18D0322304
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Osawarn Omaruyi
Laboratory Phone(502) 267-7403
Laboratory LocationJeffersontown Rehabilitation3500 Good Samaritan Way, Jeffersontown, KY 40299
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Jeffersontown Rehabilitation (CMS certification number 185268), from CMS Care Compare.

Jeffersontown Rehabilitation

Nursing home · Jeffersontown, KY
2/5 CMS Overall Rating
OwnershipFor profit - Partnership
CMS Certification Number185268
Certified Beds98 beds84 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1991
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
44
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.82 · LPN 0.87 · RN 0.96
3.65 hrs per resident per day
Weekend Nurse Staffing
3.17 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
41.3%
Registered Nurse Turnover
30%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3500 GOOD SAMARITAN WAY
JEFFERSONTOWN, KY 40299
Family Medicine
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 40299
Physical Therapy Assistant
3500 GOOD SAMARITAN WAY
JEFFERSONTOWN, KY 40299
Counselor (Mental Health)
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 40299
Family Medicine
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 40299
Speech-Language Pathologist
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 40299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffersontown Opco, LLC's NPI number?

The NPI number for Jeffersontown Opco, LLC is 1629575295. It was assigned to this organization in the NPPES registry on April 10, 2018. The provider is doing business as Jeffersontown Rehabilitation.

Where is Jeffersontown Opco, LLC located?

Jeffersontown Opco, LLC is located at 3500 Good Samaritan Way, Jeffersontown, KY 40299. The listed phone number is (502) 267-7403.

What is Jeffersontown Opco, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Jeffersontown Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0322304) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jeffersontown Opco, LLC a Medicare-certified nursing home?

Yes. Jeffersontown Rehabilitation is a Medicare-certified nursing home with 98 certified beds.

What quality rating does Jeffersontown Opco, LLC have?

CMS rates Jeffersontown Rehabilitation 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Jeffersontown Opco, LLC was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.