SHELBY RESIDENTIAL AND VOCATIONAL SERVICES NPI 1194943514

NPI Information

NPI: 1194943514
Provider Name: SHELBY RESIDENTIAL AND VOCATIONAL SERVICES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
3971 KNIGHT ARNOLD RD
MEMPHIS, TN
ZIP 38118
Phone: (901) 869-7787
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SHELBY RESIDENTIAL AND VOCATIONAL SERVICES is an intermediate care facility mentally retarded in Memphis, TN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SHELBY RESIDENTIAL AND VOCATIONAL SERVICES NPI is 1194943514. The provider is registered as an organization entity type.

The provider's business location address is:

3971 KNIGHT ARNOLD RD
MEMPHIS, TN
ZIP 38118-004
Phone: (901) 869-7787

The provider's authorized official is Teresa Cooper .
The authorized official title is Executive Director and has the following contact phone number (901) 312-6845.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 5/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities	L323-066-6234	TENNESSEE	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities	L323-066-6235	TENNESSEE	No
3	315P00000X	Intermediate Care Facility, Intellectual Disabilities	L323-066-6236	TENNESSEE	No
4	315P00000X	Intermediate Care Facility, Intellectual Disabilities	L323-066-6237	TENNESSEE	No
5	315P00000X	Intermediate Care Facility, Intellectual Disabilities	L323-066-6238	TENNESSEE	No
6	315P00000X	Intermediate Care Facility, Intellectual Disabilities	L323-066-6239	TENNESSEE	No
7	315P00000X	Intermediate Care Facility, Intellectual Disabilities	L323-066-6244	TENNESSEE	No
8	315P00000X	Intermediate Care Facility, Intellectual Disabilities	L323-066-6232	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7447082	MEDICAID	TENNESSEE
2	7447075	MEDICAID	TENNESSEE
3	7447077	MEDICAID	TENNESSEE
4	7447081	MEDICAID	TENNESSEE
5	7447076	MEDICAID	TENNESSEE
6	7447080	MEDICAID	TENNESSEE
7	7447078	MEDICAID	TENNESSEE
8	7447079	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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