Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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. Medicare rates this nursing home 5 out of 5. Licensed in Texas.

CMS rating
5 of 5
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.

See every abbreviation used in this directory →

CMS quality rating

5 out of 5 — official nursing home rating from CMS Care Compare (CCN 676030)
Health inspection5.0 / 5
Staffing2.0 / 5
Quality measures2.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

101 S Lancaster
Moulton, TX 77975-0120 Not confirmed with CMS for 15 years — call before visiting
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

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Moulton