NPIMap

Organization Active NPI

Ucg Central Texas Holdings LLC

Doing business as Northcrest Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Victoria, TX
National Provider Identifier
1245690866
Registry record updated Apr 29, 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
Northcrest Group Home
Practice address
902 Bellevue St
Victoria, TX 77904-1424
Phone
(361) 578-1527
NPI assigned
Feb 24, 2016
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

902 Bellevue St
Victoria, TX 77904-1424

Mailing address

902 Bellevue St
Victoria, TX 77904-1424
Phone (361) 578-1527

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherTXTX ICF

Other names 1

  • Northcrest Group Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245690866. Details of each certification follow.

  • CCN 45G825 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G825

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NORTHCREST GROUP HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 9, 1991
Last certification
Jan 15, 2026
Beds
6
Ownership / control type
Private (proprietary)
Facility address
902 Bellevue
Victoria, TX 77904

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": "1745884800000",
    "number": "1245690866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BELLEVUE ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041424",
            "telephone_number": "361-578-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BELLEVUE ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041424",
            "telephone_number": "361-578-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCG CENTRAL TEXAS HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX ICF",
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northcrest Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.