Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Forest Avenue Opco, LLC

Organization Skilled Nursing Facility · NPI 1396213492

Forest Avenue Opco, LLC is a Skilled Nursing Facility in Jackson, Mississippi. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1116 Forest Ave
Jackson, MS 39206-3216
Phone: (601) 366-6461
Fax: (601) 362-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1396213492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Fick — Chief Financial Officer · (615) 250-7100
Other names Pine Forest Health And Rehabilitation
NPI enumeratedNovember 6, 2018
Last updated in NPPESNovember 6, 2018
Mailing address9020 Overlook Blvd Ste 202, Brentwood, TN 37027-2755

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