OrganizationActive
Clarksdale Ms Operating LLC
NPI 1912715806 · Mental Illness Intermediate Care Facility · Clarksdale, MS
Provider details
- NPI number
- 1912715806
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Moishe Mayer, Authorized Signatory(718) 614-8341
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
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
701 Highway 322
Clarksdale, MS 38614-4722
Phone: (662) 627-2212
Street-level locationGet directions
Mailing address
710 Obrecht Rd
Sykesville, MD 21784-7650
Other names (DBA / former)
- Doing business as
- Delta Manor
Registry dates
- Enumerated
- 2024-12-23
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.