SHELBY RESIDENTIAL AND VOCATIONAL SERVICES
NPI 1194943514
Intermediate Care Facility, Intellectual Disabilities in Memphis, TN

NPI Status: Active since April 23, 2007

Contact Information

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

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About SHELBY RESIDENTIAL AND VOCATIONAL SERVICES

This page provides the complete NPI Profile along with additional information for Shelby Residential And Vocational Services, a provider established in Memphis, Tennessee operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1194943514 assigned on April 2007. The practitioner's primary taxonomy code is 315P00000X with license number L323-066-6232 (TN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Shannon Durbin (Executive Director)

NPI
1194943514
Provider Name
SHELBY RESIDENTIAL AND VOCATIONAL SERVICES
Entity Type
Organization
Location Address
3971 KNIGHT ARNOLD RD MEMPHIS, TN 38118
Location Phone
(901) 869-7787
Mailing Address
3971 KNIGHT ARNOLD RD MEMPHIS, TN 38118
Mailing Phone
(901) 869-7787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2007
Last Update Date
05-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
L323-066-6232
License State
TN
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

L323-066-6234 (TN)
2315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

L323-066-6235 (TN)
3315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

L323-066-6236 (TN)
4315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

L323-066-6237 (TN)
5315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

L323-066-6238 (TN)
6315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

L323-066-6239 (TN)
7315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

L323-066-6244 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANNON DURBIN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(901) 821-1067

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7447075MEDICAID (05)TN 
7447076MEDICAID (05)TN 
7447078MEDICAID (05)TN 
7447077MEDICAID (05)TN 
7447080MEDICAID (05)TN 
7447079MEDICAID (05)TN 
7447081MEDICAID (05)TN 
7447082MEDICAID (05)TN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194943514, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 8 + 4 + 6 + 5 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1194943514.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118
Occupational Therapist (Pediatrics)
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118
Speech-Language Pathologist
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118
Occupational Therapist
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118
Occupational Therapist (Pediatrics)
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118
Occupational Therapist
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118
Behavior Analyst
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118
Occupational Therapist
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118
Speech-Language Pathologist
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194943514, enumerated as an "organization" on April 23, 2007.

The provider is located at 3971 KNIGHT ARNOLD RD MEMPHIS, TN 38118 and the phone number is (901) 869-7787.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.