UCG CENTRAL TEXAS HOLDINGS, LLC


Address: 902 Bellevue St, Victoria, TX 77904-1424
Phone: 3615781527

UCG CENTRAL TEXAS HOLDINGS, LLC (NPI# 1245690866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245690866
Entity Type Organization
Organization Name UCG CENTRAL TEXAS HOLDINGS, LLC
Other Organization Name NORTHCREST GROUP HOME
Practice Address 902 Bellevue St
Victoria
TX 77904-1424
Practice Telephone 3615781527
Mailing Telephone 3615781527
Enumeration Date 2016-02-24
Last Update Date 2016-02-24
Authorized Official Name JOHN B PEAKES (PRESIDENT)
Authorized Official Telephone 8303722920
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX TX ICF PENDING 01

Other Provider/Organization Names

Other Name Type Code
Northcrest Group Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124489364 Ucg Central Texas Holdings, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 306 Edinburgh St, Victoria, TX 77904-2864 2016-03-16
1588024871 Ucg Central Texas Holdings, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 102 Burnet St, Port Lavaca, TX 77979-2611 2016-02-29
1033579651 Ucg Central Texas Holdings, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2006 N Wheeler St, Victoria, TX 77901-4849 2016-02-24

Office Location

Street Address 902 BELLEVUE ST
City VICTORIA
State TX
Zip Code 77904-1424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437189487 Gulf Bend Mhmr Center Icf/mr Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 902 Bellevue St, Victoria, TX 77904-1424 2006-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528600384 Bertha P Mendieta Physician Assistant Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 2019-10-14
1952968901 Eliza Welder Counselor 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 2019-05-24
1154806529 Tammy Lynn Hogan Counselor 4702 N. Laurent Ste D, Victoria, TX 77904 2018-10-01
1740724939 Sarah Ritchea Counselor 6502 Nursery Dr. Suite 100, Victoria, TX 77904 2016-12-07
1992177489 World of Words Speech & Feeding Services, LLC Speech-Language Pathologist 120 Appaloosa Dr., Victoria, TX 77904 2015-10-23
1396115739 Katelin Mcvey Physician Assistant 106 Springwood Drive, Suite 100, Victoria, TX 77904 2015-09-28
1689070062 Jeremy M Thompson Dds Ms Pllc Clinic/Center 103 Professional Park Driv, Victoria, TX 77904 2014-11-12
1265864144 Pf Development 23, LLC Hospice Care, Community Based 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 2013-08-02
1053669762 Victoria Dentistry, Pllc Dentist 8809 North Navarro, Ste.100, Victoria, TX 77904 2012-08-28
1508126442 Ayo Adu, M.d., Pllc Family Medicine 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 2012-05-25
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295295160 Supportive Family Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2189 K V Rd, Victoria, VA 23974-2538 2019-03-25
1437189487 Gulf Bend Mhmr Center Icf/mr Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 902 Bellevue St, Victoria, TX 77904-1424 2006-07-04
1649200684 Gulf Bend Mrmr Center Icf/mr Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 306 Edinburgh St, Victoria, TX 77904-2864 2006-07-04
1992735955 Gulf Bend Mrmr Center Icf/mr Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2006 N Wheeler St, Victoria, TX 77901-4849 2006-07-04
1124489364 Ucg Central Texas Holdings, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 306 Edinburgh St, Victoria, TX 77904-2864 2016-03-16
1033579651 Ucg Central Texas Holdings, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2006 N Wheeler St, Victoria, TX 77901-4849 2016-02-24
1952336398 Gulf Bend Mhmr Center Txhml Program Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1502 E Airline Rd, Suite 25, Victoria, TX 77901-4112 2006-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619581782 Joyful Psalm Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1354 Ravenwood Ct, Crowley, TX 76036-3472 2020-09-04
1790394161 Modern Vintage Residential Care, LLC. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 2020-07-30
1285253856 1 Care Premier Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 2020-04-13
1568093888 James Micah Howard Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11911 Lakewood Trl, Tomball, TX 77377-8563 2020-01-27
1518507110 Gems Residence LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5810 Liverpool St, Aubrey, TX 76227-1909 2020-01-10
1366081812 Abundant Care Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1100 Maxfield St, Waco, TX 76705-2967 2020-01-02
1306487426 Fort Healthcare LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 2019-09-30
1144877481 Boniswa Portia Maduna Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 2019-08-21
1871148171 Kenneth Allen Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 135 E Menefee St, Lufkin, TX 75901-4701 2019-08-05
1124673553 1st A & M Healthcare Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 504 Spicewood Dr, Desoto, TX 75115-1485 2019-08-02
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Competitor

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City VICTORIA
Zip Code 77904

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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