Organization Active NPI

Camacho's Family Community Residence LLC

  • Assisted Living Facility
  • Loxahatchee, FL
National Provider Identifier
1255299392
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14067OtherFLAHCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.