CAMILLUS HOUSE SHELTER
NPI 1902061617
Clinic/Center - Federally Qualified Health Center (FQHC) in Miami, FL

Active since July 22, 2008
1603 NW 7TH AVE, MIAMI, FL 33136(305) 374-1065(305) 372-1402 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camillus House Shelter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLUS HOUSE SHELTER (NPI 1902061617) is a healthcare organization registered as a federally qualified health center (fqhc) in Miami, Florida and active in the NPI registry since July 2008. The organization lists Shedrick Boren, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902061617
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCAMILLUS HEALTH CONCERN, INC.
Location Address1603 NW 7TH AVEMiami, FL 33136-1415
Mailing Address336 Nw 5th StMiami, FL 33128-1616 · (305) 577-4840 · Fax (305) 373-7431
Fax(305) 372-1402
Organization SubpartNo
Authorized OfficialShedrick BorenExecutive Director · (305) 577-4840
Enumeration DateJuly 22, 2008
Last NPPES UpdateJuly 10, 2014
NPI 1902061617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1603 NW 7TH AVE, Miami, FL 33136

Other Names 1

Other NameCamillus House Shelter

Other Identifiers 4

Medicare PINK0938FL
Medicaid680002507FL
Medicare OSCAR/certification101825FL
Medicaid680002506FL

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1603 NW 7TH AVE
MIAMI, FL 33136
Social Worker (Clinical)
1603 NW 7TH AVE
MIAMI, FL 33136
Counselor (Mental Health)
1603 NW 7TH AVE
MIAMI, FL 33136
Social Worker
1603 NW 7TH AVE
MIAMI, FL 33136
Psychologist (Clinical)
1603 NW 7TH AVE
MIAMI, FL 33136
Counselor (Mental Health)
1603 NW 7TH AVE
MIAMI, FL 33136
Social Worker (Clinical)
1603 NW 7TH AVE
MIAMI, FL 33136
Counselor (Mental Health)
1603 NW 7TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camillus Health Concern, Inc.'s NPI number?

The NPI number for Camillus Health Concern, Inc. is 1902061617. It was assigned to this organization in the NPPES registry on July 22, 2008. The provider is also known as Camillus House Shelter.

Where is Camillus Health Concern, Inc. located?

Camillus Health Concern, Inc. is located at 1603 NW 7th Ave, Miami, FL 33136. The listed phone number is (305) 374-1065.

What is Camillus Health Concern, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Camillus Health Concern, Inc. was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.