Provider Demographics
NPI:1265671234
Name:BUCKNER RETIREMENT SERVICES, INC.
Entity type:Organization
Organization Name:BUCKNER RETIREMENT SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGR OF ADMINISTRATION & CONTRACT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-758-8136
Mailing Address - Street 1:12377 MERIT DR STE 900
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-3102
Mailing Address - Country:US
Mailing Address - Phone:214-758-8000
Mailing Address - Fax:
Practice Address - Street 1:7080 CALDER AVE
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6052
Practice Address - Country:US
Practice Address - Phone:409-861-1123
Practice Address - Fax:409-861-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient