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SHELBY COUNTY COMMUNITY SERVICES INC
NPI 1801252994
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Shelbyville, IL

Active since January 06, 2016
1810 W SOUTH 3RD ST, SHELBYVILLE, IL 62565(217) 774-5587 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby County Community Services Inc NPPES

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

SHELBY COUNTY COMMUNITY SERVICES INC (NPI 1801252994) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Shelbyville, Illinois and active in the NPI registry since January 2016. The organization lists Thomas Colclasure, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801252994
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSHELBY COUNTY COMMUNITY SERVICES INC
Location Address1810 W SOUTH 3RD STShelbyville, IL 62565-9595
Mailing Address1810 W South 3rd StShelbyville, IL 62565-9595 · (217) 774-5587
Phone(217) 774-5587
Organization SubpartNo
Authorized OfficialThomas ColclasureExecutive Director · (217) 774-5587
Enumeration DateJanuary 6, 2016
✔ NPI 1801252994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in IL · 199100020S
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License 04121 (IL)
1810 W SOUTH 3RD ST, Shelbyville, IL 62565
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Other Identifiers 1

Medicaid04121IL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILA SULLIVAN
Licensed Practical Nurse
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-2113
DANA JONES
Licensed Practical Nurse
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-2113
COURTNEY NICHOLS
Licensed Practical Nurse
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-2113
SHELBY COUNTY COMMUNITY SERVICE INC
Community/Behavioral Health
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-5587
LESLIE DAVIS
Social Worker
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-2113
KACEY RILEY LCSW
Counselor (Mental Health)
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-2113
DEBORAH PORTER
Social Worker
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-2113

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 County Community Services Inc's NPI number?

The NPI number for Shelby County Community Services Inc is 1801252994. It was assigned to this organization in the NPPES registry on January 6, 2016.

Where is Shelby County Community Services Inc located?

Shelby County Community Services Inc is located at 1810 W South 3rd St, Shelbyville, IL 62565. The listed phone number is (217) 774-5587.

What is Shelby County Community Services Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shelby County Community Services Inc was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.