BUCKNER RETIREMENT SERVICES, INC. (NPI# 1689608614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689608614 |
| Entity Type | Organization |
| Organization Name | BUCKNER RETIREMENT SERVICES, INC. |
| Other Organization Name | CALDER WOODS |
| Practice Address |
7080 Calder Ave Beaumont TX 77706-6052 |
| Mailing Address |
700 N Pearl St Suite 1200 Dallas TX 75201-2824 |
| Practice Telephone | 4098611123 |
| Practice Fax Number | 4098612426 |
| Mailing Telephone | 2147588031 |
| Mailing Fax Number | 2147588153 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | MR. CHARLES G. WILSON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2147588031 |
| Authorized Official Credential | ED.D.,MS, MSN, R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 113507 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Calder Woods | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457739146 | Buckner Retirement Services, Inc. | Technician | 11111 Katy Freeway, Suite 520, Houston, TX 77079-2116 | 2015-05-13 |
| 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 |
7080 CALDER AVE |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-6052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526621 | Alyssa Hughes Parks | Speech-Language Pathologist | 7080 Calder Ave, Beaumont, TX 77706-6052 | 2020-10-26 |
| 1922573864 | Troy Jason Monasco | Physical Therapy Assistant | 7080 Calder Ave, Beaumont, TX 77706-6052 | 2018-10-08 |
| 1952886459 | Rachael Long | Physical Therapy Assistant | 7080 Calder Ave, Beaumont, TX 77706-6052 | 2018-10-01 |
| 1265671234 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 7080 Calder Ave, Beaumont, TX 77706-6052 | 2009-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093216988 | Moc Beaumont, LLC | Skilled Nursing Facility | 2665 N 11th St, Beaumont, TX 77703-4605 | 2018-02-26 |
| 1376963785 | Beaumont Manor LLC | Skilled Nursing Facility | 1441 N Michigan Ave, Beaumont, CA 92223-1728 | 2014-04-24 |
| 1174769483 | Cleburne Country LLC | Skilled Nursing Facility | 2485 S. Major Drive, Beaumont, TX 77707-5019 | 2008-12-17 |
| 1750402236 | Ssc Beaumont Green Acres Operating Company LLC | Skilled Nursing Facility | 11025 Old Voth Rd, Beaumont, TX 77713-8613 | 2007-04-03 |
| 1326141557 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 4150 College St, Beaumont, TX 77707-3902 | 2006-09-06 |
| 1699877449 | Hsmtx/lindbergh-beaumont, LLC | Skilled Nursing Facility | 795 Lindbergh Dr, Beaumont, TX 77707 | 2006-09-02 |
| 1346204633 | Pinnacle Health Facilities of Texas Xi Lp | Skilled Nursing Facility | 4195 Milam St, Beaumont, TX 77707-3918 | 2006-04-13 |
| 1134101553 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1020 S 23rd St, Beaumont, TX 77707-4202 | 2005-11-20 |
| 1598746182 | David Kleis II, LLC | Skilled Nursing Facility | 1665 E 8th St, Beaumont, CA 92223-2512 | 2005-11-09 |
| 1700867389 | David Kleis, Inc. | Skilled Nursing Facility | 1441 Michigan Ave, Beaumont, CA 92223-1728 | 2005-11-09 |
| Find all providers in BEAUMONT | ||||
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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.