3716 Highway 39 North Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

3716 HIGHWAY 39 NORTH OPCO LLC

Doing business as

The Oaks Rehabilitation and Healthcare

Practice address

3716 Highway 39 N
Meridian, MS 39301-1013

Phone

(601) 482-7164

Fax

(601) 482-5305

NPI assigned

Dec 23, 2024

Last updated

Mar 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Hoback

Title

Manager

Phone

(770) 698-9040

Specialties & licenses 1

Addresses

Other names 1

• The Oaks Rehabilitation and Healthcare Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306654355. Details of each certification follow.

• CCN 255261 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 255261

Legal name

3716 HIGHWAY 39 NORTH OPCO LLC

Doing business as

THE OAKS REHABILITATION AND HEALTHCARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 2000

Last certification

Jan 19, 2024

Beds

82

Ownership / control type

Limited Liability Corporation

Organization structure

LLC

Enrollment address

3716 Highway 39 N
Meridian, MS 39301-1013

Nursing home name

THE OAKS REHABILITATION AND HEALTHCARE CENTER

Affiliated entity

AVARDIS HEALTH

Listed as

The Oaks Rehabilitation and Healthcare CenterCCN 255261 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8272.5 residents per day on average

Chain

Avardis Health38 facilities in the chain

Penalties (3 years)

3Fines totaling $32,432

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Todd L Fulcher, MD

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1124097191

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 41

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• 1001 Hospital Road Opco LLC

  dba Starkville Manor Health Care and Rehabilitation

  • Skilled Nursing Facility
  • Starkville, MS
  • NPI 1265240113

  SNF MGR LLC

  CMS ownership
• 101 Kirkland Street Opco LLC

  dba Hilltop Manor Health and Rehabilitation

  • Skilled Nursing Facility
  • Union, MS
  • NPI 1851109896

  SNF MGR LLC

  CMS ownership
• 1199 Ocean Springs Road Operations, LLC

  dba Ocean Springs Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Ocean Springs, MS
  • NPI 1326795923

  SNF MGR LLC

  CMS ownership
• 1304 Walnut Street Operations, LLC

  dba Pine View Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Waynesboro, MS
  • NPI 1598412199

  SNF MGR LLC

  CMS ownership
• 1530 Broad Avenue Operations, LLC

  dba Coastal Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Gulfport, MS
  • NPI 1306593900

  SNF MGR LLC

  CMS ownership
• 340 Desoto Avenue Ext Operations, LLC

  dba Greenbough Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Clarksdale, MS
  • NPI 1932856531

  SNF MGR LLC

  CMS ownership
• 501 South Locust Street Opco LLC

  dba Courtyard Health and Rehabilitation

  • Skilled Nursing Facility
  • McComb, MS
  • NPI 1437967536

  SNF MGR LLC

  CMS ownership
• 538 Menge Avenue Operations, LLC

  dba Pass Christian Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Pass Christian, MS
  • NPI 1124776232

  SNF MGR LLC

  CMS ownership
• 555 John R Junkin Drive Opco LLC

  dba Grand Trace Health and Rehabilitation

  • Skilled Nursing Facility
  • Natchez, MS
  • NPI 1215745252

  SNF MGR LLC

  CMS ownership
• 627 Middleton Road Opco LLC

  dba Middleton Oaks Health and Rehabilitation

  • Skilled Nursing Facility
  • Winona, MS
  • NPI 1285442137

  SNF MGR LLC

  CMS ownership
• 1000 Stacie Drive Opco LLC

  dba The Pavilion at St. Luke Village

  • Skilled Nursing Facility
  • Hazleton, PA
  • NPI 1174331029

  SNF MGR LLC

  CMS ownership
• 1000 Tandall Place Opco LLC

  dba Wellington Rehabilitation and Healthcare

  • Skilled Nursing Facility
  • Knightdale, NC
  • NPI 1790593648

  SNF MGR LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Razee Ameir Ahmad, MD

  • Internal Medicine Physician
  • Meridian, MS
  • NPI 1235111592
  NPD (past)
• Todd L Fulcher, MD

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1124097191
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Razee Ameir Ahmad, MD

  • Internal Medicine Physician
  • Meridian, MS
  • NPI 1235111592

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1306654355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011013",
            "telephone_number": "601-482-7164",
            "fax_number": "601-482-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011013",
            "telephone_number": "601-482-7164",
            "fax_number": "601-482-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3716 HIGHWAY 39 NORTH OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "HOBACK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-698-9040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "affiliationName": "Synergy Healthcare Services",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Oaks Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A1 in Home Therapy (NA)
• Nigma D Abduljaber, LPC
• Abitacare, LLC
• Richard S. Abney, M.D.
• Frank Perron Achorn Jr., DMD

• Skilled Nursing Facility in Meridian, MS
• Providers in Meridian, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.