Active NPI
Buckner Retirement Services, Inc.
- Personal Care Attendant
- Houston, TX
National Provider Identifier
1457739146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- BUCKNER RETIREMENT SERVICES, INC.
- Practice address
- 11111 Katy Freeway
Suite 520
Houston, TX 77079-2116 - Phone
- (281) 493-6800
- Fax
- (821) 493-6807
- NPI assigned
- May 13, 2015
- Organization subpart
- Yes
- Parent organization
- BUCKNER RETIREMENT SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Moore
- Title
- MGR Or Administration & Contract
- Phone
- (214) 758-8136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
11111 Katy Freeway
Suite 520
Houston, TX 77079-2116
Mailing address
12377 Merit Dr Ste 900
Dallas, TX 75251
Phone (214) 758-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019436 | Medicaid | TX |
Other names 1
- Buckner at Home - Houston
National Provider Directory
National Provider Directory- Tax ID family
- Buckner Ryburn Nursing Ctr
- 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.
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- Skilled Nursing Facility
- Longview, TX
- NPI 1063571552
-
- Inpatient Hospice
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- NPI 1265671234
-
- Skilled Nursing Facility
- Houston, TX
- NPI 1407853971
-
- Skilled Nursing Facility
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- NPI 1689608614
-
- Skilled Nursing Facility
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- NPI 1689922239
-
- Inpatient Hospice
- Longview, TX
- NPI 1700025772
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- Inpatient Hospice
- Dallas, TX
- NPI 1700025905
Locations
11111 Katy Fwy
Ste 520
Houston, TX 77079
Phone (281) 493-6800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754006400000",
"number": "1457739146",
"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": "75251",
"telephone_number": "214-758-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 KATY FREEWAY",
"address_2": "SUITE 520",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770792116",
"telephone_number": "281-493-6800",
"fax_number": "821-493-6807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKNER RETIREMENT SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BUCKNER RETIREMENT SERVICES, INC.",
"enumeration_date": "2015-05-13",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "MGR OR ADMINISTRATION & CONTRACT",
"authorized_official_telephone_number": "214-758-8136"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019436",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Buckner at Home - Houston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.