Organization Active NPI

Shelbyville Residential, LLC

  • Assisted Living Facility
  • Shelbyville, TN
National Provider Identifier
1831145135
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHELBYVILLE RESIDENTIAL, LLC
Doing business as
Celebration Way
Celebration Way Assisted Living
Practice address
895 Union St
Shelbyville, TN 37160-2607
Phone
(931) 685-6900
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Kyle Timothy Schade
Title
Manager
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

895 Union St
Shelbyville, TN 37160-2607

Mailing address

895 Union St
Shelbyville, TN 37160-2607
Phone (931) 685-6900

Other names 2

  • Celebration Way Doing business as
  • Celebration Way Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0952437Shelbyville Residential Care Center895 Union Street, Shelbyville, TN 37160Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

895 Union St
Shelbyville, TN 37160
Phone (931) 685-6900

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1831145135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 UNION ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602607",
            "telephone_number": "931-685-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 UNION ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602607",
            "telephone_number": "931-685-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-471-1113"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebration Way",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Celebration Way",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Celebration Way Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.