CLARKSDALE MS OPERATING LLC
NPI 1912715806
Intermediate Care Facility, Mental Illness in Clarksdale, MS

Q: What is Clarksdale Ms Operating LLC's NPI number?

The NPI number for Clarksdale Ms Operating LLC is 1912715806. It was assigned to this organization in the NPPES registry on December 23, 2024. The provider is doing business as Delta Manor.

Q: What is Clarksdale Ms Operating LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Active since December 23, 2024

701 HIGHWAY 322, CLARKSDALE, MS 38614(662) 627-2212 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clarksdale Ms Operating Llc NPPES

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

CLARKSDALE MS OPERATING LLC (NPI 1912715806), doing business as Delta Manor, is a healthcare organization registered as an intermediate care facility, mental illness in Clarksdale, Mississippi and active in the NPI registry since December 2024. The organization lists Moishe Mayer, Authorized Signatory, as its authorized official.

NPPES Registry Identity

NPI1912715806

Entity TypeOrganization

Primary Taxonomy310500000X

Legal Business NameCLARKSDALE MS OPERATING LLC

Location Address701 HIGHWAY 322Clarksdale, MS 38614-4722

Mailing Address710 Obrecht RdSykesville, MD 21784-7650

Phone(662) 627-2212

Organization SubpartNo

Authorized OfficialMoishe MayerAuthorized Signatory · (718) 614-8341

Enumeration DateDecember 23, 2024

NPPES CertifiedDecember 23, 2024

✔ NPI 1912715806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code310500000X

Definition

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

701 HIGHWAY 322, Clarksdale, MS 38614

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Other Names 1

Doing Business AsDelta Manor

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.

CLARKSDALE MS OPCO LLC

Intermediate Care Facility, Intellectual Disabilities

701 HIGHWAY 322
CLARKSDALE, MS 38614

Coahoma County (662) 627-2212

PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I, INC.

Intermediate Care Facility, Intellectual Disabilities

701 HIGHWAY 322
CLARKSDALE, MS 38614

Coahoma County (662) 627-2212

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 Clarksdale Ms Operating LLC's NPI number?

The NPI number for Clarksdale Ms Operating LLC is 1912715806. It was assigned to this organization in the NPPES registry on December 23, 2024. The provider is doing business as Delta Manor.

Where is Clarksdale Ms Operating LLC located?

Clarksdale Ms Operating LLC is located at 701 Highway 322, Clarksdale, MS 38614. The listed phone number is (662) 627-2212.

What is Clarksdale Ms Operating LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Clarksdale Ms Operating LLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.