Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shady Oak Nursing and Rehabilitation, LLC

Organization Skilled Nursing Facility · NPI 1780681643

Shady Oak Nursing and Rehabilitation, LLC is a Skilled Nursing Facility in Moulton, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 S Lancaster
Moulton, TX 77975-0120
Phone: (361) 596-7373
Fax: (361) 596-7671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 111107 (TX)

Record details

NPI number1780681643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Byron Burris — President · (361) 576-9454
NPI enumeratedJuly 6, 2005
Last updated in NPPESNovember 5, 2010
Mailing addressPo Box 7230, Victoria, TX 77903-7230

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