NPIMap

Organization Active NPI

Buckner Children & Family Services, Inc.

  • Case Management Agency
  • Beaumont, TX
National Provider Identifier
1639246143
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1339329 Issued in TX
Legal business name
BUCKNER CHILDREN & FAMILY SERVICES, INC.
Practice address
9055 Manion Dr
Beaumont, TX 77706-3856
Phone
(409) 866-0976
Fax
(409) 866-8190
NPI assigned
Nov 29, 2006
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Mrs. Kimberly Denise Marks
Title
Administrative Support - Ap
Phone
(409) 866-0976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1339329 TX Primary

Addresses

Primary practice location

9055 Manion Dr
Beaumont, TX 77706-3856

Mailing address

9055 Manion Dr
Beaumont, TX 77706-3856
Phone (409) 866-0976

Other identifiers 8

IdentifierTypeStateIssuer
027863201MedicaidTX
040757901MedicaidTX
028726001MedicaidTX
079958701MedicaidTX
1528336609MedicaidTX
114634202MedicaidTX
133330403MedicaidTX
038912401MedicaidTX

National Provider Directory

National Provider Directory

Locations

9055 Manion Dr
Beaumont, TX 77706
Phone (409) 866-0976

1121 Judson Rd
Ste 184
Longview, TX 75601
Phone (903) 291-8300

2109 Victory Dr
Marshall, TX 75672
Phone (903) 935-5093

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1639246143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 MANION DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063856",
            "telephone_number": "409-866-0976",
            "fax_number": "409-866-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 MANION DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063856",
            "telephone_number": "409-866-0976",
            "fax_number": "409-866-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER CHILDREN & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPPORT - AP",
        "authorized_official_telephone_number": "409-866-0976",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "1339329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027863201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040757901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028726001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079958701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528336609",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114634202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133330403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038912401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.