Active NPI
Forest Hill Nursing Center, Inc.
- Skilled Nursing Facility
- Jackson, MS
National Provider Identifier
1073546230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FOREST HILL NURSING CENTER, INC.
- Practice address
- 927 Cooper Rd
Jackson, MS 39212-4023 - Phone
- (601) 372-0141
- Fax
- (601) 372-0931
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mims Ray Jones
- Title
- Administrator
- Phone
- (601) 372-0141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MS | Primary |
Addresses
Primary practice location
927 Cooper Rd
Jackson, MS 39212-4023
Mailing address
927 Cooper Rd
Jackson, MS 39212-4023
Phone (601) 372-0141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230106 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
927 Cooper Rd
Jackson, MS 39212
Phone (601) 372-0141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073546230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 COOPER RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392124023",
"telephone_number": "601-372-0141",
"fax_number": "601-372-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 COOPER RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392124023",
"telephone_number": "601-372-0141",
"fax_number": "601-372-0931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST HILL NURSING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MIMS",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "601-372-0141",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00230106",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.