Shelby Residential & Vocational Services, Inc.
NPI 1043467103ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Memphis, TN
Intermediate Care Facility, Intellectual Disabilities in Memphis, Tennessee, registered in NPPES in August 2008, part of Shelby Residential & Vocational Services, Inc. The authorized official on file is Shannon Durbin, Executive Director.
Overview
| NPI | 1043467103 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shelby Residential & Vocational Services, Inc. |
| NPI issued | Aug 20, 2008 |
| Last updated in NPPES | May 2, 2024 |
| Certified by provider | May 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | L323-067-6620 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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