FOREST AVENUE OPCO, LLC
NPI 1396213492
Skilled Nursing Facility in Jackson, MS
About Forest Avenue Opco, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOREST AVENUE OPCO, LLC (NPI 1396213492), doing business as Pine Forest Health And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Jackson, Mississippi and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Thomas Fick, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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 25D0697511
Forest Avenue Opco, LLC Dba Pine Forest Health And Rehabilitation · Jackson, MSNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Pine Forest Health And Rehabilitation (CMS certification number 255326), from CMS Care Compare.
Pine Forest Health And Rehabilitation
Nursing home · Jackson, MSCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Forest Avenue Opco, LLC's NPI number?
The NPI number for Forest Avenue Opco, LLC is 1396213492. It was assigned to this organization in the NPPES registry on November 6, 2018. The provider is doing business as Pine Forest Health and Rehabilitation.
Where is Forest Avenue Opco, LLC located?
Forest Avenue Opco, LLC is located at 1116 Forest Ave, Jackson, MS 39206. The listed phone number is (601) 366-6461.
What is Forest Avenue Opco, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Forest Avenue Opco, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0697511) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Forest Avenue Opco, LLC a Medicare-certified nursing home?
Yes. Pine Forest Health And Rehabilitation is a Medicare-certified nursing home with 120 certified beds.
What quality rating does Forest Avenue Opco, LLC have?
CMS rates Pine Forest Health And Rehabilitation 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
What insurance does Forest Avenue Opco, LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Forest Avenue Opco, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Forest Avenue Opco, LLC was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.