NPI age
20 years
Enumerated 2005-07-06
● Active Type 2 · Organization
Shady Oak Nursing And Rehabilitation, Llc
Shady Oak Nursing And Rehabilitation, Llc is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Burris
President
Last NPPES update
2010-11-05
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
101 South Lancaster
Moulton, TX 779750120
Mailing address
Po Box 7230
Victoria, TX 779037230
Authorized official
Byron M Burris, LNFA
President
📞 3615769454
Specialties
-
Skilled Nursing Facility Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 001012451 | |
| 05 (TX) | 171961901 | |
| 05 (TX) | 171961902 | |
| 05 (TX) | 4627 |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 3272 Skilled Nursing Facility providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.