Organization · NPI-2

Buckner Retirement Services, INC.

Assisted Living Facility · Austin, TX

NPI number1841301868
StatusActive
Last updated in NPPESAug 1, 2025

Details

NPI
1841301868
Entity type
Organization (NPI-2)
Legal business name
Buckner Retirement Services, INC.
Organization subpart
No
Enumeration date
Aug 31, 2006
Certification date
Aug 1, 2025
Last updated
Aug 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes
225100000X Physical Therapist––
225XP0019X Occupational Therapist, Physical Rehabilitation––
235Z00000X Speech-Language Pathologist,––
314000000X Skilled Nursing Facility113372TX

Other names

  • Buckner Villa Siesta Home (Doing Business As)

Practice location

11110 Tom Adams Dr
Austin, TX 78753-3354

Phone 512-836-1515 · Fax 512-836-7627

Mailing address

12377 Merit Dr Ste 900
Dallas, TX 75251-3102

Phone 214-758-8000

Authorized official

Jessica Moore
Mgr Of Administration & Contract
2147588136

Is something wrong?

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