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CANTERBURY VILLAGE MI OPCO LLC
NPI 1336961499
Assisted Living Facility in Waterford, MI

Active since October 29, 2024
5601 HATCHERY RD, WATERFORD, MI 48329(248) 674-9292 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canterbury Village Mi Opco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANTERBURY VILLAGE MI OPCO LLC (NPI 1336961499) is a healthcare organization registered as an assisted living facility in Waterford, Michigan and active in the NPI registry since October 2024. The organization lists Jacob Taub, Member, as its authorized official.

NPPES Registry Identity

NPI1336961499
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCANTERBURY VILLAGE MI OPCO LLC
Location Address5601 HATCHERY RDWaterford, MI 48329-3451
Mailing Address5601 Hatchery RdWaterford, MI 48329-3451 · (248) 674-9292
Phone(248) 674-9292
Organization SubpartNo
Authorized OfficialJacob TaubMember · (917) 703-3274
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1336961499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
5601 HATCHERY RD, Waterford, MI 48329
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA KAMAL OSMAN PTA
Physical Therapist
5601 HATCHERY RD
WATERFORD, MI 48329
Oakland County (248) 674-3479
CANTERBURY HEALTH CARE, INC
Skilled Nursing Facility
5601 HATCHERY RD
WATERFORD, MI 48329
Oakland County (248) 674-9292
MRS. PAMELA JEAN SKELLY OTR/L
Occupational Therapist
5601 HATCHERY RD
WATERFORD, MI 48329
Oakland County (248) 674-5393
SOMMER V COLLINS COTAL
Occupational Therapy Assistant
5601 HATCHERY RD
WATERFORD, MI 48329
Oakland County (248) 274-5647
CANTERBURY MI OPCO LLC
Skilled Nursing Facility
5601 HATCHERY RD
WATERFORD, MI 48329
Oakland County (248) 674-9292
JOSHUA LAWRENCE OTR/L
Occupational Therapist
5601 HATCHERY RD
WATERFORD, MI 48329
Oakland County (248) 605-2178
MARCIA SCARBROUGH
Physical Therapy Assistant
5601 HATCHERY RD
WATERFORD, MI 48329
Oakland County (248) 674-5367
MR. JEFFOREY MCLANSON PTA
Physical Therapy Assistant
5601 HATCHERY RD
WATERFORD, MI 48329
Oakland County (248) 674-5367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canterbury Village Mi Opco LLC's NPI number?

The NPI number for Canterbury Village Mi Opco LLC is 1336961499. It was assigned to this organization in the NPPES registry on October 29, 2024.

Where is Canterbury Village Mi Opco LLC located?

Canterbury Village Mi Opco LLC is located at 5601 Hatchery Rd, Waterford, MI 48329. The listed phone number is (248) 674-9292.

What is Canterbury Village Mi Opco LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Canterbury Village Mi Opco LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.