NPIMap

Organization Active NPI

Ucg Central Texas Holdings LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • San Antonio, TX
National Provider Identifier
1588024871
Registry record updated Sep 9, 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
Practice address
12351 Autumn Vista St
San Antonio, TX 78249-2405
Phone
(682) 707-2756
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 TX Primary

Addresses

Primary practice location

12351 Autumn Vista St
San Antonio, TX 78249-2405

Mailing address

102 Burnet St
Port Lavaca, TX 77979-2611
Phone (512) 552-4319

Other practice location 1

102 Burnet St
Port Lavaca, TX 77979-2611
Phone (512) 552-4319

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherTXICF

Other names 2

  • Autumn Vista II Doing business as
  • Calhoun House 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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1588024871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BURNET ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792611",
            "telephone_number": "512-552-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 AUTUMN VISTA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492405",
            "telephone_number": "682-707-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Burnet St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "779792611",
            "country_code": "US",
            "telephone_number": "512-552-4319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UCG CENTRAL TEXAS HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "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": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF",
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Vista II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calhoun House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calhoun House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.