OrganizationActive
Shelby Residential & Vocational Services, Inc.
NPI 1043467103 · Intellectual Disabilities Intermediate Care Facility · Memphis, TN
Provider details
- NPI number
- 1043467103
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Shelby Residential & Vocational Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Shannon Durbin, Executive Director(901) 312-6845
- License
- L323-067-6620 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3250 Sandwick Rd
Memphis, TN 38128-4154
Phone: (901) 357-0994
Fax: (901) 312-9906
Street-level locationGet directions
Mailing address
3971 Knight Arnold Rd
Memphis, TN 38118-3004
Other names (DBA / former)
- Doing business as
- Sandwick
- Doing business as
- Sandwick
Registry dates
- Enumerated
- 2008-08-20
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.