NPIMap

Organization Active NPI

Ucg Central Texas Holdings LLC

Doing business as 14th St

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lubbock, TX
National Provider Identifier
1033579651
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
UCG CENTRAL TEXAS HOLDINGS LLC
Doing business as
14th St
Victoria Group Home
Practice address
5003 14TH St
Lubbock, TX 79416-5615
Phone
(682) 707-2756
NPI assigned
Feb 24, 2016
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandi Turner
Title
Licensing Coordinator
Phone
(682) 707-2756

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X TX Primary

Addresses

Primary practice location

5003 14TH St
Lubbock, TX 79416-5615

Mailing address

2006 N Wheeler St
Victoria, TX 77901-4849
Phone (361) 575-1558

Other practice location 1

2006 N Wheeler St
Victoria, TX 77901-4849
Phone (361) 575-1558

Other identifiers 2

IdentifierTypeStateIssuer
001027542OtherTXICF CONTRACT
PENDINGOtherTXICF

Other names 2

  • 14th St Doing business as
  • Victoria Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ucg Central Texas Holdings LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1033579651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 N WHEELER ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014849",
            "telephone_number": "361-575-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 14TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165615",
            "telephone_number": "682-707-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 N Wheeler St",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779014849",
            "country_code": "US",
            "telephone_number": "361-575-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UCG CENTRAL TEXAS HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "LICENSING COORDINATOR",
        "authorized_official_telephone_number": "682-707-2756"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF CONTRACT",
            "identifier": "001027542",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF",
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "14th St",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "14th St",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victoria Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.