Active NPI
Camacho's Family Community Residence LLC
- Assisted Living Facility
- Loxahatchee, FL
National Provider Identifier
1255299392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CAMACHO'S FAMILY COMMUNITY RESIDENCE LLC
- Practice address
- 17843 35TH PL N
Loxahatchee, FL 33470-3624 - Phone
- (561) 327-9130
- Fax
- (917) 893-3161
- NPI assigned
- Jan 15, 2026
- Last updated
- Jan 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mirelki D Gonzalez
- Title
- Owner/Admin.
- Phone
- (561) 327-9130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
17843 35TH PL N
Loxahatchee, FL 33470-3624
Mailing address
17843 35TH PL N
Loxahatchee, FL 33470-3624
Phone (561) 327-9130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14067 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1255299392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17843 35TH PL N",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334703624",
"telephone_number": "561-327-9130",
"fax_number": "917-893-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17843 35TH PL N",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334703624",
"telephone_number": "561-327-9130",
"fax_number": "917-893-3161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMACHO'S FAMILY COMMUNITY RESIDENCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-15",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MIRELKI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/ADMIN.",
"authorized_official_telephone_number": "561-327-9130"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "14067",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.