Organization Active NPI

Victory Home Health of Texas, LLC

Doing business as Centric Home Health

  • Home Health Agency
  • Sherman, TX
National Provider Identifier
1427185099
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VICTORY HOME HEALTH OF TEXAS, LLC
Doing business as
Centric Home Health
Practice address
600 E Taylor St Ste 4011
Sherman, TX 75090-2866
Phone
(559) 423-6878
Fax
(855) 710-7022
NPI assigned
Feb 28, 2007
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
David Ochoa
Title
Administrator
Phone
(903) 458-9012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

600 E Taylor St Ste 4011
Sherman, TX 75090-2866

Mailing address

7801 Jack Finney Blvd Ste 104
Greenville, TX 75402-3107
Phone (855) 942-3687

Other practice location 1

730 E Park Blvd Ste 208
Plano, TX 75074-8850
Phone (855) 942-3687

Other practice location 2

7801 Jack Finney Blvd Ste 104
Greenville, TX 75402-3107
Phone (855) 942-3687

Other identifiers 1

IdentifierTypeStateIssuer
191844301MedicaidTX

Other names 1

  • Centric Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000655 TX Part A Provider - Home Health Agency 9234223488 Practice locations: Greenville, TX; Plano, TX; Sherman, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427185099. Details of each certification follow.

Home health agency certification: CCN 679721

Legal name
VICTORY HOME HEALTH OF TEXAS, LLC
Doing business as
CENTRIC HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 24, 2008
Last certification
Feb 12, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 14, 2007 in TX
Enrollment address
600 E Taylor St
Ste 4011
Sherman, TX 75090-2866

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centric Home HealthCCN 679721 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 24, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Victory Home Health of Texas LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2501 N Center St
#15
Bonham, TX 75418
Phone (903) 583-3562

1800 Teague Dr
Ste 520
Sherman, TX 75090

600 E Taylor St
Ste 300
Sherman, TX 75090
Phone (903) 458-9012

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Beverly Ashlock Individual W-2 Managing EmployeeDir of HR/Supporting/Billing Jan 25, 2016
Nu View Ira, Inc Fbo Curtis Wagner Ira Organization, Longwood, FL 5% Or Greater Indirect Ownership Interest Jan 1, 2018 6.24%
Tim Wigington Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2018 28.13%
Corporate OfficerBoard Member Jan 1, 2018 28.13%
Corporate DirectorDirector Nov 1, 2017 28.13%
My Centric Healthcare LLC Organization, Greenville, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 24, 2015 100%
Operational/Managerial Control Nov 24, 2015 100%
David N Ochoa Individual 5% Or Greater Indirect Ownership InterestCeo Jan 1, 2018 28.13%
Corporate OfficerAdministrator Ceo/Cfo/Board Memb Jan 1, 2018 28.13%
Corporate DirectorAdministrator Ceo/Cfo/Board Memb Feb 14, 2007 28.13%
W-2 Managing EmployeeAdministrator Ceo/Cfo/Board Memb Feb 14, 2007
Operational/Managerial ControlAdministrator Ceo/Cfo/Board Memb Feb 14, 2007 28.13%
Jonathan Austin Individual 5% Or Greater Indirect Ownership InterestMember Apr 1, 2017 28.13%
Corporate OfficerBoard Member Jan 1, 2018 28.13%
Corporate DirectorVP Business Development Board S Nov 1, 2017 28.13%
Operational/Managerial Control Jan 1, 2018 28.13%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 37

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1427185099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 JACK FINNEY BLVD STE 104",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023107",
            "telephone_number": "855-942-3687",
            "fax_number": "855-710-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E TAYLOR ST STE 4011",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902866",
            "telephone_number": "559-423-6878",
            "fax_number": "855-710-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 E Park Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750748850",
            "country_code": "US",
            "telephone_number": "855-942-3687",
            "fax_number": "855-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7801 Jack Finney Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754023107",
            "country_code": "US",
            "telephone_number": "855-942-3687",
            "fax_number": "855-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTORY HOME HEALTH OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-458-9012"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191844301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centric Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.