BUCKNER RETIREMENT SERVICES, INC. (NPI# 1407853971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407853971 |
| Entity Type | Organization |
| Organization Name | BUCKNER RETIREMENT SERVICES, INC. |
| Other Organization Name | PARKWAY PLACE |
| Practice Address |
1321 Park Bayou Dr Houston TX 77077-1507 |
| Mailing Address |
700 N Pearl St Suite 1200 Dallas TX 75201-1507 |
| Practice Telephone | 2815569200 |
| Practice Fax Number | 2815569275 |
| Mailing Telephone | 2815569200 |
| Mailing Fax Number | 2815569275 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | MR. CHARLES G. WILSON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2147588031 |
| Is Organization Subpart | Y |
| Parent Organization Name | BUCKNER RETIREMENT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 10294 | TX | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 109955 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 004077 | 05 |
| Other Name | Type Code |
|---|---|
| Parkway Place | 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 |
| 1689608614 | Buckner Retirement Services, Inc. | Skilled Nursing Facility | 7080 Calder Ave, Beaumont, TX 77706-6052 | 2006-07-10 |
| 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 |
1321 PARK BAYOU DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418522 | Briana Nicole Yancy | Occupational Therapist | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2020-02-10 |
| 1619521648 | Isioma Oleleh | Occupational Therapist | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2019-07-29 |
| 1831660398 | Leidy Reyes | Physical Medicine & Rehabilitation | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2018-12-10 |
| 1225511710 | Phillip Linder | Occupational Therapy Assistant | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2018-09-11 |
| 1598247512 | Ashlee Collins | Speech-Language Pathologist | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2018-09-06 |
| 1154786549 | Amy Lind | Physical Therapy Assistant | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2015-12-29 |
| 1992184220 | Travis James Miller | Physical Therapy Assistant | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2015-05-19 |
| 1891929097 | Mary Daugherty | Occupational Therapist | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2009-05-04 |
| 1073752101 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2009-02-12 |
| 1851553200 | Christy Leight Albertson | Occupational Therapist | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| 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 |
|---|---|---|---|---|
| 1871134676 | Ml - Easton Commons LLC | Skilled Nursing Facility | 8561 Easton Commons Dr, Houston, TX 77095 | 2019-10-02 |
| 1558831347 | State of Texas Veterans Land Board | Skilled Nursing Facility | 14041 Cottingham Road, Houston, TX 77048 | 2018-12-05 |
| 1730694787 | City Park Care Center, LLC | Skilled Nursing Facility | 12262 Cityscape Avenue, Houston, TX 77047 | 2017-12-12 |
| 1558896589 | Websteridence Opco, LLC | Skilled Nursing Facility | 9814 Grant Rd, Houston, TX 77070-4558 | 2017-04-27 |
| 1508398256 | Houstonidence Opco, LLC | Skilled Nursing Facility | 8550 Jason Street, Houston, TX 77074-2907 | 2017-03-31 |
| 1811432263 | Apollo Healthcare At Willowbrook, LLC | Skilled Nursing Facility | 13220 Breton Ridge Street, Houston, TX 77070 | 2016-12-21 |
| 1811358229 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 8902 West Rd, Houston, TX 77064-8635 | 2016-03-11 |
| 1003276437 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 12921 Misty Willow Dr, Houston, TX 77070-5287 | 2016-02-26 |
| 1194198366 | Ltc of West Houston LLC | Skilled Nursing Facility | 13428 Bissonnet St, Houston, TX 77083-6275 | 2015-11-09 |
| 1295114296 | Clear Brook Scc LLC | Skilled Nursing Facility | 10800 Flora Mae Meadows Rd, Houston, TX 77089-5974 | 2015-05-22 |
| Find all providers in HOUSTON | ||||
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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.