PREMONT REHAB AND NURSING CENTER
NPI 1881079101
Skilled Nursing Facility in Premont, TX

Active since July 28, 2015
431 NW 3RD ST., PREMONT, TX 78375(361) 348-3553 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Premont Rehab And Nursing Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMONT REHAB AND NURSING CENTER (NPI 1881079101) is a healthcare organization registered as a skilled nursing facility in Premont, Texas and active in the NPI registry since July 2015. The organization lists Michael Wallace, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881079101
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHADY SHORES OF PREMONT LLC
Location Address431 NW 3RD ST.Premont, TX 78375
Mailing Address320 Eagle Dr, Suite 201Denton, TX 76201-6898 · (940) 228-1414
Organization SubpartNo
Authorized OfficialMichael WallaceCeo · (214) 422-1622
Enumeration DateJuly 28, 2015
Last NPPES UpdateJune 14, 2016
NPI 1881079101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
431 NW 3RD ST., Premont, TX 78375

Other Names 1

Doing Business AsPremont Rehab And Nursing Center

Other Identifiers 1

Medicare OSCAR/certification676169TX

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 Shores Of Premont LLC's NPI number?

The NPI number for Shady Shores Of Premont LLC is 1881079101. It was assigned to this organization in the NPPES registry on July 28, 2015. The provider is doing business as Premont Rehab And Nursing Center.

Where is Shady Shores Of Premont LLC located?

Shady Shores Of Premont LLC is located at 431 NW 3rd St., Premont, TX 78375. The listed phone number is (361) 348-3553.

What is Shady Shores Of Premont LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Shady Shores Of Premont LLC was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.