Maryville Fairpark Opco LLC
NPI 1528627791 · Skilled Nursing Facility · Maryville, TN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryville Fairpark Opco LLC is a Skilled Nursing Facility organization in Maryville, TN (NPI 1528627791).
Provider details
- NPI number
- 1528627791
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mick Vujanovic, Ceo(502) 667-8150
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fairpark Health and Rehabilitation
- Doing business as
- Fairpark Health and Rehabilitation
Registry dates
- Enumerated
- 2019-06-11
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Maryville Fairpark Opco LLC's NPI number?
- Maryville Fairpark Opco LLC's National Provider Identifier (NPI) is 1528627791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryville Fairpark Opco LLC?
- Maryville Fairpark Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Maryville Fairpark Opco LLC located?
- Maryville Fairpark Opco LLC's practice location on file with NPPES is 307 N 5th St, Maryville, TN 37804-2921.
- What is Maryville Fairpark Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Maryville Fairpark Opco LLC is (865) 983-0261.
- Does Maryville Fairpark Opco LLC accept Medicare?
- Maryville Fairpark Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maryville Fairpark Opco LLC?
- The authorized official listed on Maryville Fairpark Opco LLC's NPPES record is Mick Vujanovic, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryville Fairpark Opco LLC's NPI active?
- Yes — Maryville Fairpark Opco LLC's NPI (1528627791) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.