BUCKNER RETIREMENT SERVICES, INC. (NPI# 1700025772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700025772 |
| Entity Type | Organization |
| Organization Name | BUCKNER RETIREMENT SERVICES, INC. |
| Other Organization Name | BUCKNER HOSPICE - LONGVIEW |
| Practice Address |
2201 Horseshoe Ln Longview TX 75605-5650 |
| Mailing Address |
700 N Pearl St Suite 1200 Dallas TX 75201-2822 |
| Practice Telephone | 9032340000 |
| Practice Fax Number | 9032340909 |
| Mailing Telephone | 2147588031 |
| Mailing Fax Number | 2147588153 |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | MR. CHARLES G. WILSON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2147588031 |
| Authorized Official Credential | ED.,D., MS, MSN, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| BUCKNER HOSPICE - LONGVIEW | 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 |
| 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 |
| 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 |
2201 HORSESHOE LN |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063571552 | Buckner Retirement Services, Inc | Skilled Nursing Facility | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2006-12-08 |
| 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 |
| 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 | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
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| 1356986590 | Zill Holding Inc | Hospice, Inpatient | 415 Woodline Drive, Spring, TX 77386 | 2019-11-12 |
| 1518454719 | Chosen Healthcare Holdings LLC | Hospice, Inpatient | 1575 Redbud Blvd Ste 207, Mckinney, TX 75069-3385 | 2018-04-13 |
| 1295240869 | Outreach Medical Home Health Agency | Hospice, Inpatient | 101 Kenya St Ste 114, Cedar Hill, TX 75104-2806 | 2017-12-05 |
| 1407233091 | Grand Assisted Living | Hospice, Inpatient | 1705 W University Dr Ste 112, Mckinney, TX 75069-3219 | 2015-05-03 |
| 1558751503 | Westside Hospice, Inc | Hospice, Inpatient | 5610 Avis Hill Court, Fulshear, TX 77441 | 2015-01-29 |
| 1538563648 | Brook Ridge Gardens, Lp | Hospice, Inpatient | 1201 West Ridge Road, Pharr, TX 78577 | 2014-10-17 |
| 1205246436 | Valley Hospice LLC | Hospice, Inpatient | 219 N East St, La Feria, TX 78559 | 2014-04-28 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1588096580 | Cima Hospice of San Antonio | Hospice, Inpatient | 12450 Network Blvd, Suite 300, San Antonio, TX 78249-3341 | 2013-08-01 |
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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.