FOREST HAVEN NURSING & REHABILITATION CENTER, LLC (NPI# 1366423550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366423550 |
| Entity Type | Organization |
| Organization Name | FOREST HAVEN NURSING & REHABILITATION CENTER, LLC |
| Other Organization Name | FOREST HAVEN NURSING & REHABILITATION CENTER |
| Practice Address |
171 Thrasher Dr Jonesboro LA 71251-4125 |
| Practice Telephone | 3182592729 |
| Practice Fax Number | 3182592977 |
| Mailing Telephone | 3182592729 |
| Mailing Fax Number | 3182592977 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TEDDY RAY PRICE (MANAGING MEMBER) |
| Authorized Official Telephone | 3186284116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 712 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1520934 | 05 |
| Other Name | Type Code |
|---|---|
| Forest Haven Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
171 THRASHER DR |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| Find all providers in zip 71251 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164856522 | Jonesboro Health and Rehab, LLC | Skilled Nursing Facility | 1705 Latourette Ln, Jonesboro, AR 72404-0797 | 2013-08-21 |
| 1043464746 | Petersen Health Operations, LLC | Skilled Nursing Facility | 995 State Rt 127 S, Jonesboro, IL 62952 | 2008-11-07 |
| 1386821650 | Jbnc, Inc. | Skilled Nursing Facility | 5504 E Johnson Ave., Jonesboro, AR 72401-8309 | 2008-01-29 |
| 1184703993 | Craighead Nursing Center | Skilled Nursing Facility | 5101 Harrisburg Rd, Jonesboro, AR 72404-8729 | 2006-11-03 |
| 1992814644 | Jonesboro Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2650 Highway 138 E, Jonesboro, GA 30236-2744 | 2006-08-29 |
| 1154331239 | Jonesboro Healthcare Center, LLC | Skilled Nursing Facility | 800 Southwest Dr, Jonesboro, AR 72401 | 2006-08-09 |
| 1598702862 | Petersen Health Properties, LLC | Skilled Nursing Facility | 995 State Route 127 S, Box B, Jonesboro, IL 62952-2423 | 2006-06-02 |
| 1316914302 | Arrowhead Healthcare, LLC | Skilled Nursing Facility | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 | 2006-03-08 |
| 1427039585 | Wyatt Manor Nursing & Rehabilitation Center, Inc. | Skilled Nursing Facility | 4659 Highway 505, Jonesboro, LA 71251-5891 | 2005-11-07 |
| 1942297411 | Kmj Enterprises Skill Care LLC | Skilled Nursing Facility | 2911 Browns Ln, Jonesboro, AR 72401-7204 | 2005-09-30 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.