Shady Oak Nursing and Rehabilitation, LLC
NPI 1780681643 · Skilled Nursing Facility · Moulton, TX
Shady Oak Nursing and Rehabilitation, LLC is a Skilled Nursing Facility organization in Moulton, TX (NPI 1780681643).
Provider details
- NPI number
- 1780681643
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Byron Burris, President(361) 576-9454
- License
- 111107 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-06
- Last updated
- 2010-11-05
Frequently asked questions
- What is Shady Oak Nursing and Rehabilitation, LLC's NPI number?
- Shady Oak Nursing and Rehabilitation, LLC's National Provider Identifier (NPI) is 1780681643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Oak Nursing and Rehabilitation, LLC?
- Shady Oak Nursing and Rehabilitation, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Shady Oak Nursing and Rehabilitation, LLC located?
- Shady Oak Nursing and Rehabilitation, LLC's practice location on file with NPPES is 101 South Lancaster, Moulton, TX 77975-0120.
- What is Shady Oak Nursing and Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shady Oak Nursing and Rehabilitation, LLC is (361) 596-7373.
- Who is the authorized official for Shady Oak Nursing and Rehabilitation, LLC?
- The authorized official listed on Shady Oak Nursing and Rehabilitation, LLC's NPPES record is Byron Burris, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Oak Nursing and Rehabilitation, LLC's NPI active?
- Yes — Shady Oak Nursing and Rehabilitation, LLC's NPI (1780681643) is active in the NPPES registry as of the last update on 2010-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.