BERTRAM NURSING AND REHAB CENTER – NPI #1942685383
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.

BERTRAM NURSING AND REHAB CENTER is a skilled nursing facility (SNF) located in BERTRAM, TX. NPPES has assigned the NPI number 1942685383 to BERTRAM NURSING AND REHAB CENTER on July 28, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BERTRAM NURSING AND REHAB CENTER” is a dba name, the actual legal business name for this organization is SHADY SHORES OF BERTRAM 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 Jun 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 BERTRAM NURSING AND REHAB CENTER below.

NPI Profile for
SHADY SHORES OF BERTRAM LLC

NPI Number
1942685383
Enumeration Date

(about 11 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 BERTRAM LLC
Doing Business As (dba): BERTRAM NURSING AND REHAB CENTER
Primary location
540 E. HIGHWAY 29
BERTRAM, TX 78605-4473
Phone: (512) 355-2116 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: (214) 422-1622
Updated
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.