BUCKNER RETIREMENT SERVICES, INC (NPI# 1063571552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063571552 |
| Entity Type | Organization |
| Organization Name | BUCKNER RETIREMENT SERVICES, INC |
| Other Organization Name | BUCKNER WESTMINSTER PLACE |
| Practice Address |
2201 Horseshoe Ln Longview TX 75605-5650 |
| Mailing Address |
700 N Pearl St Suite 1200 Dallas TX 75201-2824 |
| Practice Telephone | 9032340000 |
| Practice Fax Number | 9037578949 |
| Mailing Telephone | 2147588000 |
| Mailing Fax Number | 2147588153 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | MR. CHARLES G. WILSON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2147588031 |
| Authorized Official Credential | EDD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 103186 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Buckner Westminster Place | Doing Business As Name - Organization |
| 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 |
2201 HORSESHOE LN |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535075 | Ashley Harkrider | Occupational Therapy Assistant | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2019-08-29 |
| 1528541521 | Linda Dian Harrell | Speech-Language Pathologist | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2018-09-14 |
| 1386126233 | Jeanne Marie Santos Ubalde | Physical Therapist | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2018-09-06 |
| 1700025772 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2009-02-13 |
| 1770769440 | Margie Arlene Snell | Physical Therapy Assistant | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2008-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1659756047 | Gruenepointe 1 Longview, LLC | Skilled Nursing Facility | 2131 Alpine Rd, Longview, TX 75601-3402 | 2015-07-27 |
| 1861818635 | Hopkins County Hospital District | Skilled Nursing Facility | 1154 E Hawkins Pkwy, Longview, TX 75605-7975 | 2014-03-17 |
| 1689840266 | Legacy Healthcare Services, Inc. | Skilled Nursing Facility | 1517 Edna Ln, Longview, TX 75602-4915 | 2008-05-05 |
| 1487600706 | Hopkins County Hospital District | Skilled Nursing Facility | 3201 4th St, Longview, TX 75605-5145 | 2006-05-26 |
| 1750335345 | Linderian Company, Ltd | Skilled Nursing Facility | 301 Hollybrook Dr, Longview, TX 75605-2461 | 2006-05-19 |
| 1437117272 | Longview I Enterprises, LLC | Skilled Nursing Facility | 2711 Pine Tree Rd, Longview, TX 75604-1646 | 2006-05-02 |
| 1659337384 | Whispering Pines Lodge Illp | Skilled Nursing Facility | 2131 Alpine Road, Longview, TX 75601 | 2006-04-21 |
| 1437125937 | Clairmont Longview, Lp | Skilled Nursing Facility | 3201 N 4th St, Longview, TX 75605-5145 | 2006-02-24 |
| 1578551768 | Highland Pines Nursing Home, Ltd | Skilled Nursing Facility | 1100 N 4th St, Longview, TX 75601-4739 | 2005-10-11 |
| 1104811207 | Evergreen Washington Healthcare Frontier, L.L.C. | Skilled Nursing Facility | 1500 3rd Ave, Longview, WA 98632-8632 | 2005-09-14 |
| Find all providers in LONGVIEW | ||||
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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.