CANTON MS OPCO LLC
NPI 1881336352
Intermediate Care Facility, Intellectual Disabilities in Canton, MS

Active since April 13, 2022
1145 TISDALE AVE, CANTON, MS 39046(601) 859-6712 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Canton Ms Opco Llc NPPES

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

CANTON MS OPCO LLC (NPI 1881336352) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Canton, Mississippi and active in the NPI registry since April 2022. The organization lists Batya Gorelick, Coo, as its authorized official.

NPPES Registry Identity

NPI1881336352
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCANTON MS OPCO LLC
Location Address1145 TISDALE AVECanton, MS 39046-4965
Mailing Address980 Sylvan AveEnglewood Cliffs, NJ 07632-3301 · (201) 928-7800
Organization SubpartNo
Authorized OfficialBatya GorelickCoo · (201) 928-7800
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1881336352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1145 TISDALE AVE, Canton, MS 39046

Other Providers at the Same Location NPPES 2

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

Intermediate Care Facility, Intellectual Disabilities
1145 TISDALE AVE
CANTON, MS 39046
Intermediate Care Facility, Intellectual Disabilities
1145 TISDALE AVE
CANTON, MS 39046

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 Canton Ms Opco LLC's NPI number?

The NPI number for Canton Ms Opco LLC is 1881336352. It was assigned to this organization in the NPPES registry on April 13, 2022.

Where is Canton Ms Opco LLC located?

Canton Ms Opco LLC is located at 1145 Tisdale Ave, Canton, MS 39046. The listed phone number is (601) 859-6712.

What is Canton Ms Opco LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Canton Ms Opco LLC was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.