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

Active since April 23, 2007
3971 KNIGHT ARNOLD RD, MEMPHIS, TN 38118(901) 869-7787 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2024, May 11, 2023 (2 updates tracked since 2023).

About Shelby Residential And Vocational Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY RESIDENTIAL AND VOCATIONAL SERVICES (NPI 1194943514) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Memphis, Tennessee and active in the NPI registry since April 2007. The organization lists Shannon Durbin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194943514
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSHELBY RESIDENTIAL AND VOCATIONAL SERVICES
Location Address3971 KNIGHT ARNOLD RDMemphis, TN 38118-3004
Mailing Address3971 Knight Arnold RdMemphis, TN 38118-3004 · (901) 869-7787
Organization SubpartNo
Authorized OfficialShannon DurbinExecutive Director · (901) 821-1067
Enumeration DateApril 23, 2007
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1194943514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Licenses✔ Licensed in TN · L323-066-6232✔ Licensed in TN · L323-066-6234✔ Licensed in TN · L323-066-6235✔ Licensed in TN · L323-066-6236✔ Licensed in TN · L323-066-6237✔ Licensed in TN · L323-066-6238✔ Licensed in TN · L323-066-6239✔ Licensed in TN · L323-066-6244
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3971 KNIGHT ARNOLD RD, Memphis, TN 38118

Other Identifiers 8

Medicaid7447075TN
Medicaid7447076TN
Medicaid7447078TN
Medicaid7447077TN
Medicaid7447080TN
Medicaid7447079TN
Medicaid7447081TN
Medicaid7447082TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Residential And Vocational Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shelby Residential And Vocational Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1477695948
2100 EXETER RD
Germantown, TN 38138
(901) 757-1350
7.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Residential And Vocational Services's NPI number?

The NPI number for Shelby Residential And Vocational Services is 1194943514. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Shelby Residential And Vocational Services located?

Shelby Residential And Vocational Services is located at 3971 Knight Arnold Rd, Memphis, TN 38118. The listed phone number is (901) 869-7787.

What is Shelby Residential And Vocational Services's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Is Shelby Residential And Vocational Services enrolled in Medicare?

Yes. Shelby Residential And Vocational Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shelby Residential And Vocational Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Shelby Residential And Vocational Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shelby Residential And Vocational Services accept?

Health plans from Cigna Healthcare list Shelby Residential And Vocational Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelby Residential And Vocational Services was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.