SHADY OAK NURSING AND REHABILITATION, LLC
NPI 1780681643
Skilled Nursing Facility in Moulton, TX
About Shady Oak Nursing And Rehabilitation, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHADY OAK NURSING AND REHABILITATION, LLC (NPI 1780681643) is a healthcare organization registered as a skilled nursing facility in Moulton, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Byron M Burris, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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 45D0679802
Shady Oak Nursing And Rehabilitation · Victoria, TXOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOULTON, TX 77975
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 Shady Oak Nursing And Rehabilitation, LLC's NPI number?
The NPI number for Shady Oak Nursing And Rehabilitation, LLC is 1780681643. It was assigned to this organization in the NPPES registry on July 6, 2005.
Where is Shady Oak Nursing And Rehabilitation, LLC located?
Shady Oak Nursing And Rehabilitation, LLC is located at 101 South Lancaster, Moulton, TX 77975. The listed phone number is (361) 596-7373.
What is Shady Oak Nursing And Rehabilitation, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Shady Oak Nursing And Rehabilitation, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0679802) is associated with this NPI, valid through August 31, 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 Shady Oak Nursing And Rehabilitation, LLC was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.