| NPI | 1063571552 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-08 |
| Last Updated | 2025-08-01 |
| Authorized Official | Jessica Moore Mgr. of Administration & Contracts Phone: 2147588136 |
| Mailing Address | 12377 Merit Dr Ste 900 Dallas, TX 75251-3102 United States Phone: (214) 758-8000 📍 View Map |
| Primary Practice Address | 2201 Horseshoe Ln Longview, TX 75605-5650 United States Phone: (903) 234-0000 | Fax: (903) 757-8949 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 314000000X – Skilled Nursing Facility | TX | 103186 |
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About NPI 1063571552
Buckner Retirement Services, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063571552. The primary specialty listed is Skilled Nursing Facility. The organization is located in Longview, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063571552?
NPI 1063571552 belongs to Buckner Retirement Services, Inc, a Skilled Nursing Facility in Longview, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063571552 active?
The current status of NPI 1063571552 in the NPPES registry is Active. The record was last updated on 2025-08-01.
What specialty is NPI 1063571552?
NPI 1063571552 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063571552?
You can verify NPI 1063571552 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063571552?
The primary practice address on file for NPI 1063571552 is 2201 Horseshoe Ln, Longview, TX 75605-5650. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063571552 issued?
NPI 1063571552 was first issued (enumerated) on 2006-12-08. The NPPES record was last updated on 2025-08-01.
Practice Location Map
Buckner Retirement Services, Inc is located at 2201 Horseshoe Ln, Longview, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Buckner Retirement Services, Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063571552. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Skilled Nursing Facility | 103186 | TX |