Active NPI
Buckner Senior Living, Inc.
- Skilled Nursing Facility
- Dallas, TX
National Provider Identifier
1508325275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BUCKNER SENIOR LIVING, INC.
- Doing business as
- Ventana by Buckner
- Practice address
- 8301 N Central Expy
Dallas, TX 75225-4409 - Phone
- (214) 758-8000
- Fax
- (214) 758-8153
- NPI assigned
- Mar 13, 2019
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8301 N Central Expy
Dallas, TX 75225-4409
Mailing address
12377 Merit Dr Ste 900
Dallas, TX 75251-3102
Phone (214) 758-8000
Other names 1
- Ventana by Buckner
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190711001797 | TX | Part A Provider - Skilled Nursing Facility | 7416282504 | Practice locations: Dallas, TX |
Skilled nursing facility certification: CCN 676483
- Legal name
- BUCKNER SENIOR LIVING, INC.
- Doing business as
- VENTANA BY BUCKNER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Mar 17, 2020
- Last certification
- Dec 18, 2024
- Beds
- 72
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Buckner Retirement Services
- Organization structure
- Corporation
- Incorporated
- Dec 14, 2012 in TX
- Enrollment address
- 8301 N Central Expy
Dallas, TX 75225-4409 - Nursing home name
- VENTANA BY BUCKNER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ventana by Buckner
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Mar 17, 2020
- Medicare certification status
- Active
- Certified beds
- 72
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2167411 | Buckner Senior Living, Inc | Certificate of waiver | Jun 6, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Apr 12, 2012 | ||
| Jessica Moore | Operational/Managerial Control | Apr 12, 2012 | |
| Adp of the SNF | Apr 12, 2012 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jul 31, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Jeffrey K. Gentry | Corporate Officer | Dec 14, 2017 | |
| Buckner Senior Living | 5% Or Greater Direct Ownership Interest | Dec 1, 2012 | 100% |
| Adp of the SNF | Jul 31, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Albert Reyes | Corporate Officer | Jan 2, 2007 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Kenneth D Robbins | Corporate Director | Apr 21, 2025 | |
| Operational/Managerial Control | Apr 25, 2025 | ||
| Adp of the SNF | Apr 21, 2025 |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1407887425
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1508325275",
"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": "8301 N CENTRAL EXPY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752254409",
"telephone_number": "214-758-8000",
"fax_number": "214-758-8153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKNER SENIOR LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-13",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 SteB",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ventana by Buckner",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ventana by Buckner",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.