NPIMap

Organization Active NPI

Buckner Retirement Services, Inc.

Doing business as Calder Woods

  • Skilled Nursing Facility
  • Beaumont, TX
National Provider Identifier
1689608614
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
113507 Issued in TX
Legal business name
BUCKNER RETIREMENT SERVICES, INC.
Doing business as
Calder Woods
Practice address
7080 Calder Ave
Beaumont, TX 77706-6052
Phone
(409) 861-1123
Fax
(409) 861-2426
NPI assigned
Jul 10, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 113507 TX Primary

Addresses

Primary practice location

7080 Calder Ave
Beaumont, TX 77706-6052

Mailing address

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

Other names 1

  • Calder Woods 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
O20060206000748 TX Part A Provider - Skilled Nursing Facility 5193637007 Practice locations: Beaumont, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689608614. Details of each certification follow.

Skilled nursing facility certification: CCN 676109

Legal name
BUCKNER RETIREMENT SERVICES INC
Doing business as
CALDER WOODS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 9, 2006
Last certification
Nov 6, 2024
Beds
46
Ownership / control type
Other Nonprofit
Multi-facility organization
Buckner Retirement Services
Organization structure
CorporationProprietary
Incorporated
Dec 29, 1994 in TX
Enrollment address
7080 Calder Ave
Calder Woods
Beaumont, TX 77706-6052
Nursing home name
CALDER WOODS

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
Calder WoodsCCN 676109 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Other
Certified
Aug 9, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4637.1 residents per day on average
Penalties (3 years)
1Fines totaling $14,069

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
45D0975746Calder Woods7080 Calder Avenue, Beaumont, TX 77706Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Buckner Retirement Services Inc8 organizations share this tax ID, including this one

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 23

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 Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Individual Adp of the SNF Jul 30, 2025
Individual Adp of the SNF Jan 1, 2023
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 Adp of the SNF Apr 29, 2025
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Buckner Retirement Services Inc Organization, Dallas, TX Non-profit Adp of the SNF Jul 9, 2025
Direct Ownership Interest Jul 1, 2000 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 Mar 27, 2024
Buckner Baptist Benevolences Organization, Dallas, TX 5% Or Greater Direct Ownership Interest Jul 1, 2000
Individual Adp of the SNF Nov 1, 2017
Individual Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Kenneth D Robbins Individual Corporate DirectorSenior Vice President Apr 25, 2025
Operational/Managerial Control Apr 25, 2025
Trustee of the SNF 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
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
Parkway PlaceHouston, TX, CCN 675777 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)		 Jan 1, 1998
Jul 14, 2025
Jan 1, 1998
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.

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1689608614",
    "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": "7080 CALDER AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066052",
            "telephone_number": "409-861-1123",
            "fax_number": "409-861-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER RETIREMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "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": "TX",
            "license": "113507",
            "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",
            "address_2": "SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Calder Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.