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Shelby Residential and Vocational Services

NPI 1194943514ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Memphis, TN

Intermediate Care Facility, Intellectual Disabilities in Memphis, Tennessee, registered in NPPES in April 2007. The authorized official on file is Shannon Durbin, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1194943514
StatusActive
Entity typeOrganization
NPI issuedApr 23, 2007
Last updated in NPPESMay 2, 2024
Certified by providerMay 2, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Intellectual Disabilities Primary315P00000XL323-066-6232TN
Intermediate Care Facility, Intellectual Disabilities315P00000XL323-066-6234TN
Intermediate Care Facility, Intellectual Disabilities315P00000XL323-066-6235TN
Intermediate Care Facility, Intellectual Disabilities315P00000XL323-066-6236TN
Intermediate Care Facility, Intellectual Disabilities315P00000XL323-066-6237TN
Intermediate Care Facility, Intellectual Disabilities315P00000XL323-066-6238TN
Intermediate Care Facility, Intellectual Disabilities315P00000XL323-066-6239TN
Intermediate Care Facility, Intellectual Disabilities315P00000XL323-066-6244TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TN)

Medicare sources and data years

Other Intermediate Care Facility, Intellectual Disabilities providers in Memphis

All 16 Intermediate Care Facility, Intellectual Disabilities providers in Memphis · All Intermediate Care Facility, Intellectual Disabilities providers in Tennessee