Forest Cove Nursing and Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000170 Issued in TN

Legal business name

FOREST COVE NURSING AND REHAB CENTER, LLC

Practice address

45 Forest CV
Jackson, TN 38301

Phone

(731) 424-4200

Fax

(731) 424-4203

NPI assigned

Apr 18, 2006

Organization subpart

Yes

Parent organization

AMERICAN HEALTH COMPANIES, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Robin F Bradley

Title

Secretary

Phone

(615) 595-8383

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Forest Cover Manor Inc Former legal business name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jere D Hammond, MD

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1891763819
  NPD (past)
• Gregory Erwin Mitchell, MD

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1871596973
  NPD (past)
• Evanna Proctor, MD

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1275500274
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1891750469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383630010",
            "telephone_number": "731-847-6343",
            "fax_number": "731-847-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-424-4200",
            "fax_number": "731-424-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST COVE NURSING AND REHAB CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES, LLC",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-595-8383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0170",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0424",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Cover Manor Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Forest Cover Manor Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Fmy Orthodontics
• Anthony Wade Fondren, CRNA, DNP, BSN, BSBS
• John K Forbes, CRNA
• Rebbecca S Force, LMT
• Dwight David Ford
• Margrit Forster, LCSW
• Robert Eric Forsythe, B. A.
• Chardae Foster, MD
• Charles Stephen Foster, MD
• Jennifer Foster

• Skilled Nursing Facility in Jackson, TN
• Providers in Jackson, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.