BUCKNER RETIREMENT SERVICES, INC. (NPI# 1457739146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457739146 |
| Entity Type | Organization |
| Organization Name | BUCKNER RETIREMENT SERVICES, INC. |
| Other Organization Name | BUCKNER AT HOME - HOUSTON |
| Practice Address |
11111 Katy Freeway Suite 520 Houston TX 77079-2116 |
| Practice Telephone | 2814936800 |
| Practice Fax Number | 8214936807 |
| Mailing Telephone | 2814936800 |
| Mailing Fax Number | 8214936807 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | MR. CHARLIE G WILSON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2147588031 |
| Authorized Official Credential | LNFA |
| Is Organization Subpart | Y |
| Parent Organization Name | BUCKNER RETIREMENT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1019436 | 05 |
| Other Name | Type Code |
|---|---|
| Buckner at Home - Houston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689608614 | Buckner Retirement Services, Inc. | Skilled Nursing Facility | 7080 Calder Ave, Beaumont, TX 77706-6052 | 2006-07-10 |
| 1407853971 | Buckner Retirement Services, Inc. | Assisted Living Facility | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2005-06-30 |
| 1689922239 | Buckner Retirement Services, Inc. | Assisted Living Facility | 600 N Pearl St, Dallas, TX 75201-2822 | 2012-08-29 |
| 1265671234 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 7080 Calder Ave, Beaumont, TX 77706-6052 | 2009-02-13 |
| 1700025772 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2009-02-13 |
| 1073752101 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2009-02-12 |
| 1700025905 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 4800 Samuell Blvd, Dallas, TX 75228-6831 | 2009-02-11 |
| 1558549386 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2008-02-04 |
| 1841301868 | Buckner Retirement Services, Inc. | Skilled Nursing Facility | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BUCKNER RETIREMENT SERVICES, INC. | 700 N Pearl St Ste 1200, Dallas, TX 75201-7405 |
| Street Address |
11111 KATY FREEWAY SUITE 520 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922593078 | Soley Psychological and Consulting Services | Psychologist | 11111 Katy Freeway, Suite 910, Houston, TX 77034 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.