CAMINO REAL COMMUNITY MHMR CENTER (NPI# 1033208327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033208327 |
| Entity Type | Organization |
| Organization Name | CAMINO REAL COMMUNITY MHMR CENTER |
| Practice Address |
19965 Fm 3175 North Lytle TX 78052 |
| Mailing Address |
Po Box 725 Lytle TX 78052-0725 |
| Practice Telephone | 2103570300 |
| Practice Fax Number | 2103570458 |
| Mailing Telephone | 2103570300 |
| Mailing Fax Number | 2103570458 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | TRACY LOREN WILSON (REIMBURSEMENT OFFICER) |
| Authorized Official Telephone | 2103570300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891885901 | Camino Real Community Mhmr Center | Clinic/Center | 19965 Fm 3175 N, Lytle, TX 78052 | 2006-10-13 |
| 1487751715 | Camino Real Community Mhmr Center | Social Worker | 19965 Fm 3175 North, Lytle, TX 78052 | 2006-09-20 |
| 1780197491 | Camino Real Community Mhmr Center | Behavioral Analyst | 19965 Fm 3175, Lytle, TX 78052-3481 | 2017-11-16 |
| 1710102330 | Camino Real Community Mhmr Center | Day Training, Developmentally Disabled Services | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-04-17 |
| 1952526576 | Camino Real Community Mhmr Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-04-17 |
| 1700976818 | Camino Real Community Mhmr Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19965 Fm 3175 North, Lytle, TX 78052 | 2006-10-13 |
| 1154411262 | Camino Real Community Mhmr Center | Clinic/Center | 19965 Fm 3175 North, Lytle, TX 78052 | 2006-10-13 |
| Street Address |
19965 FM 3175 NORTH |
| City | LYTLE |
| State | TX |
| Zip Code | 78052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487751715 | Camino Real Community Mhmr Center | Social Worker | 19965 Fm 3175 North, Lytle, TX 78052 | 2006-09-20 |
| 1376743211 | Linda V. Lane | Counselor | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-07-19 |
| 1710102330 | Camino Real Community Mhmr Center | Day Training, Developmentally Disabled Services | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-04-17 |
| 1952526576 | Camino Real Community Mhmr Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-04-17 |
| 1629195474 | Lauri K. Staples | Occupational Therapist | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-03-26 |
| 1326165176 | Kelly Lee Olive | Physical Therapist | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-03-26 |
| 1215054069 | Sylvia Salinas Martinez | Speech-Language Pathologist | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-03-26 |
| 1154448066 | Mary Kathryn Stamp | Speech-Language Pathologist | 19965 Fm 3175 North, Lytle, TX 78052 | 2007-03-23 |
| 1447334651 | Veronica Sanchez | Counselor | 19965 Fm 3175 North, Lytle, TX 78052 | 2006-10-24 |
| 1700976818 | Camino Real Community Mhmr Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19965 Fm 3175 North, Lytle, TX 78052 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854022 | Shri Durga Drugs LLC | Pharmacy | 19450 Mcdonald St Ste 102, Lytle, TX 78052 | 2019-01-09 |
| 1881129872 | Sagar Dental | Dentist | 19450 Mcdonald St, Suite 101, Lytle, TX 78052 | 2017-04-27 |
| 1376080242 | Jayanth Christian | Dentist | 19450 Mcdonald St # 101, Lytle, TX 78052 | 2017-01-30 |
| 1407161284 | Elaine Evelyn Gage-gonzalez | Pharmacist | 19565 Ih 35 S, Lytle, TX 78052 | 2010-08-17 |
| 1871808659 | Larry Wayne Bohmfalk | Pharmacist | 19565 Interstate Highway 35 South, Lytle, TX 78052 | 2010-08-17 |
| 1831427376 | Gabriel Alvarado | Specialist/Technologist, Other | 170 Terry Ln, Lytle, TX 78052 | 2009-11-20 |
| 1710145958 | Fahimah Yazdanfard Callahan | Dietitian, Registered | 14832 Main St., Usrenal Caretri-county Dialysis, Lytle, TX 78052 | 2008-05-23 |
| 1194849554 | Patricia Barrera | Physical Therapist | 15320 Main St, Lytle, TX 78052 | 2007-03-19 |
| 1316070360 | Emma C. Garcia | Occupational Therapist | 19965 Fm 3175 N., Lytle, TX 78052 | 2007-03-13 |
| 1154468296 | Donna Beck Granato | Counselor | 3160 Fm 3175, Lytle, TX 78052 | 2007-01-30 |
| Find all providers in zip 78052 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1609477157 | H.a.r Support Services, LLC | Case Management | 5608 Bellissima Way, Round Rock, TX 78665-2667 | 2020-11-02 |
| 1760081228 | Lighthouse Group Homes, LLC | Case Management | 2109 Quail Run Apt B, Mckinney, TX 75071-1013 | 2020-10-25 |
| 1760081715 | Valescere Spring Branch | Case Management | 10005 Lazy Oaks Dr, Houston, TX 77080 | 2020-10-21 |
| 1588263966 | Building Bridges With Love | Case Management | 611 Dairy Ashford Rd Apt 407, Houston, TX 77079-3925 | 2020-10-18 |
| 1720686959 | Enlightened Gems Home Healthcare, Inc. | Case Management | 6547 Beech Trail Dr, Converse, TX 78109-3373 | 2020-10-09 |
| 1114524584 | Kimberly Marie Pittard | Case Management | 3906 Figure Four Lake Ln, Richmond, TX 77406-8084 | 2020-10-07 |
| 1821605312 | Mmk Group of Texas | Case Management | 21510 Hales Hunt Ct, Spring, TX 77388-6952 | 2020-09-28 |
| 1104433853 | Amy Sanford | Case Management | 23770 Springwoods Village Pkwy Apt 258, Spring, TX 77373-5104 | 2020-09-28 |
| 1316554215 | A New Way of Life Mentoring Services | Case Management | 7601 Fm 1960 Rd E, Humble, TX 77346-2209 | 2020-09-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.