NPIMap

Organization Active NPI

Buckner Retirement Services, Inc.

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1407853971
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
109955 Issued in TX
Legal business name
BUCKNER RETIREMENT SERVICES, INC.
Practice address
1321 Park Bayou Dr
Houston, TX 77077-1507
Phone
(281) 556-9200
Fax
(281) 556-9275
NPI assigned
Jun 30, 2005
Organization subpart
Yes
Parent organization
BUCKNER RETIREMENT SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Kenneth Dale Robbins
Title
President
Phone
(231) 578-4064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10294 TX
Skilled Nursing Facility 314000000X 109955 TX Primary

Addresses

Primary practice location

1321 Park Bayou Dr
Houston, TX 77077-1507

Mailing address

12377 Merit Dr Ste 900
Dallas, TX 75251-3102
Phone (214) 758-8000

Other identifiers 1

IdentifierTypeStateIssuer
004077MedicaidTX

Other names 1

  • Parkway Place Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090622000584 TX Part A Provider - Skilled Nursing Facility 5193637007 Practice locations: Houston, TX

Skilled nursing facility certification: CCN 675777

Legal name
BUCKNER RETIREMENT SERVICES INC
Doing business as
PARKWAY PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 7, 1999
Last certification
May 30, 2025
Beds
42
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Buckner Retirement Services
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1994 in TX
Enrollment address
1321 Park Bayou Dr
Parkway Place
Houston, TX 77077-1507
Nursing home name
PARKWAY PLACE

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkway PlaceCCN 675777
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jan 7, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4239.1 residents per day on average
Penalties (3 years)
1Fines totaling $45,741

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0714963Parkway Place1321 Park Bayou Drive, Houston, TX 77077Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Buckner Ryburn Nursing Ctr8 organizations share this tax ID, including this one
Part of
Buckner Ryburn Nursing Ctr

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Individual Trustee of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2023
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Jessica Moore Individual Operational/Managerial Control Apr 12, 2012
Adp of the SNF Apr 12, 2012
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Jeffrey K. Gentry Individual Corporate OfficerCoo Nov 1, 2017
Buckner Retirement Services Inc Organization, Dallas, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1998 100%
Adp of the SNF Jul 14, 2025
Direct Ownership Interest Jan 1, 1998 100%
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Individual Adp of the SNF Jul 30, 2025
Albert Reyes Individual Corporate OfficerCeo, Buckner International Jan 2, 2007
Individual Trustee of the SNF Jan 1, 2025
Kenneth D Robbins Individual Corporate DirectorSenior Vice President Apr 21, 2025
Adp of the SNF Apr 21, 2025
Individual Trustee of the SNF Jan 1, 2025

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Calder WoodsBeaumont, TX, CCN 676109 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Jul 9, 2025
Jul 1, 2000
Buckner Westminster PlaceLongview, TX, CCN 676167 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Trustee of the SNF
Adp of the SNF		 Jan 1, 1996
Jan 1, 1996
Jul 13, 2025
The Stayton at Museum WayFort Worth, TX, CCN 676305 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Jun 1, 2024
Jun 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1407853971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513102",
            "telephone_number": "214-758-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 PARK BAYOU DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771507",
            "telephone_number": "281-556-9200",
            "fax_number": "281-556-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER RETIREMENT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUCKNER RETIREMENT SERVICES, INC.",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-578-4064"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "10294",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004077",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "address_2": "SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Parkway Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.