Organization Active NPI

Buckingham Senior Living Community Inc

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1356396279
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116910 Issued in TX
Legal business name
BUCKINGHAM SENIOR LIVING COMMUNITY INC
Practice address
8530 Woodway Dr
Houston, TX 77063-2423
Phone
(713) 979-3777
Fax
(713) 979-3778
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jean Dopler
Title
Billing Specialist
Phone
(903) 413-1448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 116910 TX Primary

Addresses

Primary practice location

8530 Woodway Dr
Houston, TX 77063-2423

Mailing address

8580 Woodway Dr
Houston, TX 77063-2423
Phone (713) 979-3100

Other identifiers 1

IdentifierTypeStateIssuer
102407OtherTXTDADS FACILITY ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060608000123 TX Part A Provider - Skilled Nursing Facility 1951313097 Practice locations: Houston, TX

Skilled nursing facility certification: CCN 676111

Legal name
BUCKINGHAM SENIOR LIVING COMMUNITY INC
Doing business as
THE BUCKINGHAM
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 28, 2006
Last certification
Jul 25, 2024
Beds
92
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 2002 in TX
Enrollment address
8580 Woodway Dr
Houston, TX 77063-2423
Nursing home name
FFIII HOUSTON SNF TENANT LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
FFIII Houston SNF Tenant LLCCCN 676111
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare
Ownership
Non profit - Other
Certified
Aug 28, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9257.2 residents per day on average
Penalties (3 years)
1Fines totaling $14,069

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Biju Oommen Individual W-2 Managing Employee Jul 26, 2002
Greystone Management Services Company, LLC Organization, Irving, TX Operational/Managerial Control Jul 26, 2006
Charles Waterhouse Individual Corporate Director Oct 2, 2013
Charles B Brewer Individual Corporate Director Jul 26, 2002
Philip Jacob Individual W-2 Managing Employee Aug 29, 2011

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1356396279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 WOODWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632423",
            "telephone_number": "713-979-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 WOODWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632423",
            "telephone_number": "713-979-3777",
            "fax_number": "713-979-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKINGHAM SENIOR LIVING COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "DOPLER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "903-413-1448"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDADS FACILITY ID",
            "identifier": "102407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.