BUCKNER RETIREMENT SERVICES, INC. (NPI# 1700025905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700025905 |
| Entity Type | Organization |
| Organization Name | BUCKNER RETIREMENT SERVICES, INC. |
| Other Organization Name | BUCKNER HOSPICE - DALLAS |
| Practice Address |
4800 Samuell Blvd Dallas TX 75228-6831 |
| Mailing Address |
700 N Pearl St Suite 1200 Dallas TX 75201-2822 |
| Practice Telephone | 2143812171 |
| Practice Fax Number | 2143815165 |
| Mailing Telephone | 2147588031 |
| Mailing Fax Number | 2147588153 |
| Enumeration Date | 2009-02-11 |
| 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 | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Buckner Hospice - Dallas | 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 |
| 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 |
| 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 |
4800 SAMUELL BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427228386 | Jeanne Marie Clifford | Speech-Language Pathologist | 4800 Samuell Blvd, Dallas, TX 75228-6831 | 2008-03-06 |
| 1376835785 | Jerry Wayne Burroughs | Physical Therapist | 4800 Samuell Blvd, Dallas, TX 75228-6831 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700083524 | C.c. Young Memorial Home | Hospice, Inpatient | 4829 W. Lawther Dr, Dallas, TX 75214 | 2007-06-27 |
| 1740486729 | Gta Nurse Staffing | Hospice, Inpatient | 1700 Commerce St Ste 1640, Dallas, TX 75201-5364 | 2007-06-26 |
| 1306837893 | Grace Presbyterian Ministries, Inc. | Hospice, Inpatient | 12477 Merit Dr, Dallas, TX 75251 | 2005-11-02 |
| 1043401334 | Dallas Nursing Home LLC | Hospice, Inpatient | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2007-08-05 |
| 1316907181 | Dallas Home for Jewish Aged, Inc. | Hospice, Inpatient | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306477401 | Cross Stone Hospice, LLC | Hospice, Inpatient | 6001 George Bush Dr, Katy, TX 77493-1991 | 2020-01-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.