OrganizationActive
Camillus Health Concern, Inc.
NPI 1902061617 · Federally Qualified Health Center (FQHC) · Miami, FL
Provider details
- NPI number
- 1902061617
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shedrick Boren, Executive Director(305) 577-4840
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1603 Nw 7th Ave
Miami, FL 33136-1415
Phone: (305) 374-1065
Fax: (305) 372-1402
Street-level locationGet directions
Mailing address
336 Nw 5th St
Miami, FL 33128-1616
Other names (DBA / former)
- Other name
- Camillus House Shelter
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2014-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.