NPIMap

Organization Active NPI

Camino Real Community MHMR Center

Doing business as Camino Real Community Services

  • Case Management Agency
  • Lytle, TX
National Provider Identifier
1154411262
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CAMINO REAL COMMUNITY MHMR CENTER
Doing business as
Camino Real Community Services
Practice address
19965 FM 3175
Lytle, TX 78052-3481
Phone
(210) 357-0300
Fax
(855) 240-1374
NPI assigned
Oct 13, 2006
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Andrea Corona
Title
Reimbursement/Credentialing Spec
Phone
(210) 357-0369

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

19965 FM 3175
Lytle, TX 78052-3481

Mailing address

PO Box 725
Lytle, TX 78052-0725
Phone (210) 357-0300

Other names 1

  • Camino Real Community Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614001095 TX Part B Supplier - Clinic/Group Practice 9931183449 Receives reassigned benefits from 155 practitioners
Practice locations: Floresville, TX; Pearsall, TX; Lytle, TX; Kenedy, TX; Jourdanton, TX; Eagle Pass, TX; Crystal City, TX

National Provider Directory

National Provider Directory

Locations

315 N 1st Ave
Crystal City, TX 78839
Phone (830) 374-5854

415 W Zavala St
Crystal City, TX 78839
Phone (830) 374-5854

2644 Encino Park
Eagle Pass, TX 78852
Phone (830) 498-2030

470 Jefferson St
Eagle Pass, TX 78852
Phone (210) 357-0300

490 S Bibb Ave
Eagle Pass, TX 78852
Phone (830) 773-5696

757 E Rio Grande St
Eagle Pass, TX 78852
Phone (210) 357-0300

1005 B St
Floresville, TX 78114
Phone (830) 216-4326

1327 3rd St
Floresville, TX 78114
Phone (830) 216-2004

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

221 W Main St
Kenedy, TX 78119
Phone (830) 583-9977

404 S Pecan St
Pearsall, TX 78061
Phone (830) 334-0075

411 E Brazos St
Pearsall, TX 78061
Phone (830) 334-0075

Practitioners & affiliated clinicians

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1154411262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780520725",
            "telephone_number": "210-357-0300",
            "fax_number": "855-240-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19965 FM 3175",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523481",
            "telephone_number": "210-357-0300",
            "fax_number": "855-240-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMINO REAL COMMUNITY MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REIMBURSEMENT/CREDENTIALING SPEC",
        "authorized_official_telephone_number": "210-357-0369"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camino Real Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lytle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.