Forest Avenue Opco, LLC
Forest Avenue Opco, LLC is a healthcare organization registered as Skilled Nursing Facility in Jackson, MS, holding Type 2 (organization) NPI 1396213492 since 2018. The authorized official on file is John Fick, Chief Financial Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396213492 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Forest Avenue Opco, LLC |
| Practice address | 1116 FOREST AVE, Jackson, MS, 39206 |
| Phone | 6013666461 |
| Fax | 6013624041 |
| Enumeration date | 2018-11-06 |
| Last updated in NPPES | 2018-11-06 |
Authorized official
| Name | John Fick |
|---|---|
| Title | Chief Financial Officer |
| Phone | 6152507100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Copy-ready billing details
Provider: Forest Avenue Opco, LLC NPI: 1396213492 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1116 FOREST AVE, Jackson, MS, 39206
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326197211 | Cottage Grove Nursing Home, Lp | Organization | Skilled Nursing Facility | Jackson, MS |
| 1154876290 | Duddleston Management, LLC | Organization | Internal Medicine Physician | Jackson, MS |
| 1760934707 | Dudley Medical Services, LLC | Organization | Family Medicine Physician | Jackson, MS |
| 1669917068 | Internal Medicine Clinic of Canton, Inc | Organization | Internal Medicine Physician | Jackson, MS |
Verify this record
Cross-check NPI 1396213492 against the authoritative CMS record: view Forest Avenue Opco, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Forest Avenue Opco, LLC?
Who is the authorized official for Forest Avenue Opco, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-11-06.