CAMILLUS HOUSE SHELTER
NPI 1902061617
Clinic/Center - Federally Qualified Health Center (FQHC) in Miami, FL
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
Specialties & Licenses
Other Names 1
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Camillus House Shelter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Camillus House Shelter, which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 30Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Camillus Health Concern, Inc. enrolled in Medicare?
Yes. Camillus Health Concern, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Camillus Health Concern, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 11 Medicare specialties reassign their Medicare billing to Camillus Health Concern, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Dentist (4) and Family Practice (3). Of these, 25 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Camillus House Shelter · NPI 1902061617
Federally Qualified Health Center (FQHC) organization in Miami, Florida. Organization record, active in the CMS NPPES registry since July 22, 2008.
## Identity
- **NPI:** 1902061617 (Entity type: Organization)
- **Enumerated:** July 22, 2008
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Camillus Health Concern, Inc.
- **Organization subpart:** No
- **Authorized official:** Shedrick Boren, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1603 NW 7TH AVE, Miami, FL 33136-1415
- **Phone:** (305) 374-1065 · **Fax:** (305) 372-1402
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Dentist (4), Family Practice (3); 25 practice within 10 miles; [full list](https://npiprofile.com/npi/1902061617/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2014
- **Other identifiers:** Medicare PIN K0938 (FL); Medicaid 680002507 (FL); Medicare OSCAR/certification 101825 (FL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902061617) · Data from the CMS NPPES public registry.