Canterbury Mi Opco LLC
NPI 1114744653 · Skilled Nursing Facility · Waterford, MI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canterbury Mi Opco LLC is a Skilled Nursing Facility organization in Waterford, MI (NPI 1114744653).
Provider details
- NPI number
- 1114744653
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Taub, Coo(718) 838-1500
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-09-25
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Frequently asked questions
- What is Canterbury Mi Opco LLC's NPI number?
- Canterbury Mi Opco LLC's National Provider Identifier (NPI) is 1114744653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canterbury Mi Opco LLC?
- Canterbury Mi Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Canterbury Mi Opco LLC located?
- Canterbury Mi Opco LLC's practice location on file with NPPES is 5601 Hatchery Rd, Waterford, MI 48329-3451.
- What is Canterbury Mi Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Canterbury Mi Opco LLC is (248) 674-9292.
- Does Canterbury Mi Opco LLC accept Medicare?
- Canterbury Mi Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canterbury Mi Opco LLC?
- The authorized official listed on Canterbury Mi Opco LLC's NPPES record is Jacob Taub, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canterbury Mi Opco LLC's NPI active?
- Yes — Canterbury Mi Opco LLC's NPI (1114744653) is active in the NPPES registry as of the last update on 2024-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.