Organization Active NPI

Camino Real Community MHMR Center

Doing business as Camino Real Community Services

  • Developmentally Disabled Services Day Training Agency
  • Lytle, TX
National Provider Identifier
1710102330
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
001010449 Issued in TX
Legal business name
CAMINO REAL COMMUNITY MHMR CENTER
Doing business as
Camino Real Community Services
Practice address
19965 FM 3175 North
Lytle, TX 78052
Phone
(210) 357-0369
Fax
(210) 357-0458
NPI assigned
Apr 17, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 001010449 TX Primary

Addresses

Primary practice location

19965 FM 3175 North
Lytle, TX 78052

Mailing address

PO Box 725
Lytle, TX 78052-0725
Phone (210) 357-0369

Other identifiers 1

IdentifierTypeStateIssuer
001010449OtherTXTXHLV CONTRACT

Other names 1

  • CAMINO REAL COMMUNITY SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camino Real Community MHMR Center6 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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1710102330",
    "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": "210-357-0369",
            "fax_number": "855-240-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19965 FM 3175 NORTH",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "78052",
            "telephone_number": "210-357-0369",
            "fax_number": "210-357-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMINO REAL COMMUNITY MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "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": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "001010449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXHLV CONTRACT",
            "identifier": "001010449",
            "state": "TX"
        }
    ],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.