Forest Avenue Opco, LLC
NPI 1396213492 · Skilled Nursing Facility · Jackson, MS
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Forest Avenue Opco, LLC is a Skilled Nursing Facility organization in Jackson, MS (NPI 1396213492).
Provider details
- NPI number
- 1396213492
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Fick, Chief Financial Officer(615) 250-7100
Specialties & taxonomies
Nursing & Custodial Care Facilities
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
- Pine Forest Health and Rehabilitation
Registry dates
- Enumerated
- 2018-11-06
- Last updated
- 2018-11-06
Frequently asked questions
- What is Forest Avenue Opco, LLC's NPI number?
- Forest Avenue Opco, LLC's National Provider Identifier (NPI) is 1396213492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Forest Avenue Opco, LLC?
- Forest Avenue Opco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Forest Avenue Opco, LLC located?
- Forest Avenue Opco, LLC's practice location on file with NPPES is 1116 Forest Ave, Jackson, MS 39206-3216.
- What is Forest Avenue Opco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Forest Avenue Opco, LLC is (601) 366-6461.
- Does Forest Avenue Opco, LLC accept Medicare?
- Forest Avenue 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 Forest Avenue Opco, LLC?
- The authorized official listed on Forest Avenue Opco, LLC's NPPES record is John Fick, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Forest Avenue Opco, LLC's NPI active?
- Yes — Forest Avenue Opco, LLC's NPI (1396213492) is active in the NPPES registry as of the last update on 2018-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.