SHELBY RESIDENTIAL & VOCATIONAL SERVICES, INC. (NPI# 1043467103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043467103 |
| Entity Type | Organization |
| Organization Name | SHELBY RESIDENTIAL & VOCATIONAL SERVICES, INC. |
| Other Organization Name | SANDWICK |
| Practice Address |
3250 Sandwick Rd Memphis TN 38128-4154 |
| Mailing Address |
3971 Knight Arnold Rd Memphis TN 38118-3004 |
| Practice Telephone | 9013570994 |
| Practice Fax Number | 9013129906 |
| Mailing Telephone | 9018697787 |
| Mailing Fax Number | 9013226391 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | TYLER W HAMPTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9013126812 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | SHELBY RESIDENTIAL & VOCATIONAL SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | L323-067-6620 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7447076 | 05 |
| Other Name | Type Code |
|---|---|
| Sandwick | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619124641 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 847 Linwood Rd, Memphis, TN 38116-7028 | 2008-08-21 |
| 1255588281 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 4827 Hancock Dr, Memphis, TN 38116-8109 | 2008-08-21 |
| 1265689293 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2115 Saint James Dr, Memphis, TN 38116-7670 | 2008-08-21 |
| 1982851911 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 3785 Old Egypt Central, Memphis, TN 38128 | 2008-08-21 |
| 1417104738 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5109 Childs Dr, Memphis, TN 38116-8614 | 2008-08-19 |
| 1942457262 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1735 Whitney Ave, Memphis, TN 38127-8048 | 2008-08-19 |
| 1396992608 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 4101 Tessland Rd, Memphis, TN 38128-2201 | 2008-08-19 |
| Street Address |
3250 SANDWICK RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| 1528490547 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3783 Egypt Central, Memphis, TN 38128 | 2013-08-01 |
| 1235571886 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3432 Old Allen Rd, Memphis, TN 38128-4240 | 2013-07-24 |
| 1619124641 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 847 Linwood Rd, Memphis, TN 38116-7028 | 2008-08-21 |
| 1255588281 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 4827 Hancock Dr, Memphis, TN 38116-8109 | 2008-08-21 |
| 1265689293 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2115 Saint James Dr, Memphis, TN 38116-7670 | 2008-08-21 |
| 1982851911 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 3785 Old Egypt Central, Memphis, TN 38128 | 2008-08-21 |
| 1417104738 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5109 Childs Dr, Memphis, TN 38116-8614 | 2008-08-19 |
| 1942457262 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1735 Whitney Ave, Memphis, TN 38127-8048 | 2008-08-19 |
| 1396992608 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 4101 Tessland Rd, Memphis, TN 38128-2201 | 2008-08-19 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.