Healthcare Provider Details

I. General information

NPI: 1699608125
Provider Name (Legal Business Name): FORREST HILLS LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W JEFFERSON ST
BLACK RIVER FALLS WI
54615-1063
US

IV. Provider business mailing address

313 W JEFFERSON ST
BLACK RIVER FALLS WI
54615-1063
US

V. Phone/Fax

Practice location:
  • Phone: 715-670-0080
  • Fax:
Mailing address:
  • Phone: 715-670-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMES MICHAEL SUCHANEK
Title or Position: OWNER
Credential: EMT,PERSONALTRAINER
Phone: 715-896-2877