SHADY SHORES OF SAN SABA – NPI #1326408832
Skilled Nursing Facility

(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 requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

SHADY SHORES OF SAN SABA is a skilled nursing facility (SNF) located in SAN SABA, TX. NPPES has assigned the NPI number 1326408832 to SHADY SHORES OF SAN SABA on February 25, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHADY SHORES OF SAN SABA” is a dba name, the actual legal business name for this organization is SHADY SHORES OF SAN SABA LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 10 years ago on Nov 14, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHADY SHORES OF SAN SABA below.

NPI Profile for
SHADY SHORES OF SAN SABA LLC

NPI Number
1326408832
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHADY SHORES OF SAN SABA LLC
Doing Business As (dba): SHADY SHORES OF SAN SABA
Primary location
2400 WEST BROWN ST.
SAN SABA, TX 76877
Phone: (325) 455-3200 Fax:
Mailing address
320 EAGLE DR
SUITE 201
DENTON, TX 76201-6898
Phone: (940) 228-1414 Fax:
Organization Subpart
No
Authorized Official
MICHAEL WALLACE
CEO
Phone: (940) 228-1414
Updated
Identifiers

Identifiers for SHADY SHORES OF SAN SABA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX001027949
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
TX

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.