SO
SHADY OAK NURSING AND REHABILITATION, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
MOULTON, TX
Licensed since
2005
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1780681643
CMS Certification Number (CCN)676030
Agency details
Avg residents / day36.4
OwnershipFor profit - Corporation
Chain affiliationCREATIVE SOLUTIONS IN HEALTHCARE
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameBYRON BURRIS
TitlePRESIDENT
Phone3615967373
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Source: NPI Registry · Last refreshed June 24, 2026