SHADY OAK NURSING AND REHABILITATION, LLC – Skilled Nursing Facility, NPI 1780681643

SHADY OAK NURSING AND REHABILITATION, LLC is a healthcare provider. based in Victoria, Texas. specializing in Skilled Nursing Facility. The organization holds a License No. 111107 (TX). The NPI Number for SHADY OAK NURSING AND REHABILITATION, LLC is 1780681643

Main info

Organization
Name
SHADY OAK NURSING AND REHABILITATION, LLC
NPI
1780681643
Phone
(361) 576-9454
Address
PO BOX 7230
Authorized Official
MR. BYRON M BURRIS II PRESIDENT LNFA
Enumeration Date
6 July 2005
Last Update Date
5 November 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SHADY OAK NURSING AND REHABILITATION, LLC

  • Victoria, 4C, Rue Pletzer, Bertrange, Canton Luxembourg, 8080, Luxembourg

    VICTORIA, TX 779037230

    Phone: (361) 576-9454

    Fax: (361) 576-2994

    Type: Mailing

  • 101, South Lancaster Street, Moulton, Lavaca County, Texas, 77975, United States

    MOULTON, TX 779750120

    Phone: (361) 596-7373

    Fax: (361) 596-7671

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77903)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for SHADY OAK NURSING AND REHABILITATION, LLC?
SHADY OAK NURSING AND REHABILITATION, LLC — NPI 1780681643 — is the standard way to identify this listing.
Does CMS list SHADY OAK NURSING AND REHABILITATION, LLC as active?
Yes — SHADY OAK NURSING AND REHABILITATION, LLC is active in the NPI listing used on this page.
What is SHADY OAK NURSING AND REHABILITATION, LLC's specialty?
The listing groups SHADY OAK NURSING AND REHABILITATION, LLC with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What area does SHADY OAK NURSING AND REHABILITATION, LLC serve?
SHADY OAK NURSING AND REHABILITATION, LLC's listing highlights Victoria, Texas; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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