BUCKNER RETIREMENT SERVICES, INC. (NPI# 1841301868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841301868 |
| Entity Type | Organization |
| Organization Name | BUCKNER RETIREMENT SERVICES, INC. |
| Other Organization Name | BUCKNER VILLA SIESTA HOME |
| Practice Address |
11110 Tom Adams Dr Austin TX 78753-3354 |
| Mailing Address |
Po Box 80242 Austin TX 78708-0242 |
| Practice Telephone | 5128361515 |
| Practice Fax Number | 5128367627 |
| Mailing Telephone | 5128361515 |
| Mailing Fax Number | 5128367627 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | MR. CHARLES G. WILSON II (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2147588031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 113372 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Buckner Villa Siesta Home | 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 |
| 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 |
| 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 |
11110 TOM ADAMS DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514667 | Christi A Campbell | Nurse Practitioner | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2005-08-03 |
| 1265040737 | Kimberly Addison | Occupational Therapy Assistant | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2020-07-21 |
| 1407407356 | Anisha Alex | Physical Therapy Assistant | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2019-09-23 |
| 1376018812 | Lori Christine Turner | Occupational Therapy Assistant | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2018-10-11 |
| 1770066920 | Elizabeth Maria Adame | Speech-Language Pathologist | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2018-09-13 |
| 1043793623 | Elizabeth Bretfelean | Physical Therapy Assistant | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2018-09-10 |
| 1194196691 | Heather Brumleve | Physical Therapist | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2015-10-09 |
| 1356685382 | Kristina Lynne Green | Occupational Therapist | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2012-11-15 |
| 1558549386 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 11110 Tom Adams Dr, Austin, TX 78753-3354 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| 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 |
|---|---|---|---|---|
| 1982256285 | Center At Parmer, LLC | Skilled Nursing Facility | 13800 N Fm 620 Rd # Sb, Austin, TX 78717-1126 | 2019-07-16 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1912305277 | Riverside Scc LLC | Skilled Nursing Facility | 6801 E Riverside Dr, Austin, TX 78741-6633 | 2014-12-18 |
| 1568884773 | Legend Oaks - Austin, LLC | Skilled Nursing Facility | 11020 Dessau Rd, Austin, TX 78754-2053 | 2014-01-08 |
| 1366716516 | John A Luker Md Pa | Skilled Nursing Facility | 4029 S Capital of Texas Hwy Ste 115, Austin, TX 78704-7920 | 2012-03-06 |
| 1841567435 | Kaleb Healthcare Services,inc. | Skilled Nursing Facility | 12318 Thompkins Dr, Austin, TX 78753-7016 | 2011-11-26 |
| 1407157555 | Onion Creek Scc LLC | Skilled Nursing Facility | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 | 2010-11-05 |
| 1477879401 | Phcc-brodie Ranch Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 2101 Frate Barker Road, Austin, TX 78748-3614 | 2010-04-15 |
| 1588894596 | Phcc-riverside Rehabilitation and Health Care Center, LLC | Skilled Nursing Facility | 6801 E. Riverside Dr., Austin, TX 78741-3051 | 2009-07-24 |
| 1053547463 | Mason Dessau Op LLC | Skilled Nursing Facility | 11020 Dessau Road, Austin, TX 78754-2053 | 2009-06-01 |
| Find all providers in AUSTIN | ||||
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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.