Hancock

LBN: Shelby Residential & Vocational Services, Inc.
Hancock is an health care organization with primary practice located at 4827 Hancock Dr , Memphis TN 38116-8109. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Shelby Residential & Vocational Services, Inc. can be contacted via phone (901) 332-9870, or through Durbin, Shannon via phone (901) 821-1067.

Contact Information

Primary practice address
4827 Hancock Dr Memphis TN 38116-8109
Phone: (901) 332-9870
Fax: (901) 312-9906
Website:
Map and Directions
Authorized official contact:
Name: Durbin, Shannon
Phone: (901) 821-1067

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X L323-067-6607 Tennessee

Profile Details

NPI number 1255588281
LBN Legal business name Shelby Residential & Vocational Services, Inc.
DBA Doing business as Hancock
Authorized official Durbin, Shannon
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2008
Last updated May 2nd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255588281 NPPES
Tennessee MEDICAID 7447082

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