Provider Demographics
NPI:1508325275
Name:BUCKNER SENIOR LIVING, INC.
Entity Type:Organization
Organization Name:BUCKNER SENIOR LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-758-8031
Mailing Address - Street 1:700 N PEARL ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2874
Mailing Address - Country:US
Mailing Address - Phone:214-758-8000
Mailing Address - Fax:214-758-8153
Practice Address - Street 1:ONE VENTANA WAY
Practice Address - Street 2:8301 N CENTRAL EXPRESSWAY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225
Practice Address - Country:US
Practice Address - Phone:214-758-8000
Practice Address - Fax:214-758-8153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility