SHELBYVILLE RESIDENTIAL, LLC
NPI 1831145135
Assisted Living Facility in Shelbyville, TN

Active since May 26, 2006CLIA 44D0952437 · Waiver
895 UNION ST, SHELBYVILLE, TN 37160(931) 685-6900 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Shelbyville Residential, Llc NPPES

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

SHELBYVILLE RESIDENTIAL, LLC (NPI 1831145135), doing business as Celebration Way, is a healthcare organization registered as an assisted living facility in Shelbyville, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1831145135
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHELBYVILLE RESIDENTIAL, LLC
Location Address895 UNION STShelbyville, TN 37160-2607
Mailing Address895 Union StShelbyville, TN 37160-2607 · (931) 685-6900
Organization SubpartNo
Authorized OfficialKyle Timothy SchadeManager · (573) 471-1113
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1831145135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
895 UNION ST, Shelbyville, TN 37160

Other Names 2

Doing Business AsCelebration Way
Doing Business AsCelebration Way Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0952437

Shelbyville Residential Care Center · Shelbyville, TN
Active · expires Oct 12, 2026
CLIA Number44D0952437
Laboratory TypeOther
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorBenny Mullen
Laboratory Phone(931) 685-6900
Laboratory LocationShelbyville Residential Care Center895 Union Street, Shelbyville, TN 37160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shelbyville Residential, LLC's NPI number?

The NPI number for Shelbyville Residential, LLC is 1831145135. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Celebration Way and Celebration Way Assisted Living.

Where is Shelbyville Residential, LLC located?

Shelbyville Residential, LLC is located at 895 Union St, Shelbyville, TN 37160. The listed phone number is (931) 685-6900.

What is Shelbyville Residential, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Shelbyville Residential, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0952437) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shelbyville Residential, LLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.