OrganizationActive
Clarksdale Ms Opco LLC
NPI 1043952526 · Intellectual Disabilities Intermediate Care Facility · Clarksdale, MS
Provider details
- NPI number
- 1043952526
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Batya Gorelick, Coo(201) 928-7800
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 Highway 322
Clarksdale, MS 38614-4722
Phone: (662) 627-2212
Street-level locationGet directions
Mailing address
980 Sylvan Ave
Englewood Cliffs, NJ 07632-3301
Registry dates
- Enumerated
- 2022-04-13
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.