SHELBY RESIDENTIAL & VOCATIONAL SERVICES, INC. (NPI# 1942457262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942457262 |
| Entity Type | Organization |
| Organization Name | SHELBY RESIDENTIAL & VOCATIONAL SERVICES, INC. |
| Other Organization Name | WHITNEY |
| Practice Address |
1735 Whitney Ave Memphis TN 38127-8048 |
| Mailing Address |
3971 Knight Arnold Rd Memphis TN 38118-3004 |
| Practice Telephone | 9013583360 |
| Practice Fax Number | 9013129906 |
| Mailing Telephone | 9018697787 |
| Mailing Fax Number | 9013226391 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | MR. 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 | L323-067-6613 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7447079 | 05 |
| Other Name | Type Code |
|---|---|
| Whitney | 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 |
| 1043467103 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 3250 Sandwick Rd, Memphis, TN 38128-4154 | 2008-08-20 |
| 1417104738 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5109 Childs Dr, Memphis, TN 38116-8614 | 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 |
1735 WHITNEY AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-8048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| Find all providers in zip 38127 | ||||
| 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 |
| 1043467103 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 3250 Sandwick Rd, Memphis, TN 38128-4154 | 2008-08-20 |
| 1417104738 | Shelby Residential & Vocational Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5109 Childs Dr, Memphis, TN 38116-8614 | 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.