Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CANTON MS OPERATING LLC
Active
Organization
CANTON MS OPERATING LLC
Active
Other names
Madison Court
Organization subpart
No
Provider details
NPI number
Authorized official
MOISHE MAYER (AUTHORIZED SIGNATORY)
(718) 614-8341
Entity
Organization
Contact information
Practice address
1145 TISDALE AVE, CANTON, MS 39046-4965
(601) 859-6712
Mailing address
710 OBRECHT RD, SYKESVILLE, MD 21784-7650
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up