Shelby Health Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0248 Issued in TN

Legal business name

SHELBY HEALTH SERVICES, LLC

Doing business as

MidSouth Health & Rehabilitation Center

Practice address

2380 James Rd
Memphis, TN 38127-8806

Phone

(901) 358-1707

Fax

(901) 358-1788

NPI assigned

May 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeff Cantrell

Title

President

Phone

(423) 478-5953

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MidSouth Health & Rehabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1194776716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 CENTRAL AVE NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115541",
            "telephone_number": "423-478-5953",
            "fax_number": "423-479-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 JAMES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381278806",
            "telephone_number": "901-358-1707",
            "fax_number": "901-358-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-478-5953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445436",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440595",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidSouth Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby County Health Care Corporation
• Shelby County Health Care Corporation (Regional One Health Pharmacy Union Ave)
• Shelby County Physicians, PLLC
• Shelby Dental
• Shelby Emergency Group LLC
• Shelby Residential & Vocational Services, Inc. (Sandwick)
• Shelby Residential & Vocational Services, Inc. (Hancock)
• Shelby Residential & Vocational Services, Inc. (St. James)
• Shelby Residential & Vocational Services, Inc. (Tessland)
• Shelby Residential & Vocational Services, Inc. (Childs)

• Skilled Nursing Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.