Camillus Health Concern, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CAMILLUS HEALTH CONCERN, INC.

Practice address

1545 NW 7TH Ave
Miami, FL 33136-1403

Phone

(305) 374-1065

Fax

(305) 373-7431

NPI assigned

Dec 27, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Francis Afram-Gyening

Title

Ceo

Phone

(305) 533-0189

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NCL - Camillus House Other name

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 681000

Legal name

CAMILLUS HEALTH CONCERN INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 13, 2015

Last certification

Jan 13, 2015

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 13, 1988 in FL

Enrollment address

1545 NW 7TH Ave
Miami, FL 33136-1403

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Camillus Health Concern Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1861402869

  4688575210

  Same PAC ID
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1659536365

  4688575210

  Same PAC ID

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Camillus Health Concern Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1861402869

  O20040116000614

  Same enrollment
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1588829287

  O20040116000614

  Same enrollment
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1659536365

  O20040116000614

  Same enrollment
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1902061617

  O20040116000614

  Same enrollment
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1982869699

  O20040116000614

  Same enrollment

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1659536365

  Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hector Gonzalez, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1659036234
  NPD
• Jim Torres, MD

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1639331093
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1285055889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NW 5TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281616",
            "telephone_number": "305-577-4840",
            "fax_number": "305-373-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361403",
            "telephone_number": "305-374-1065",
            "fax_number": "305-373-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLUS HEALTH CONCERN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "AFRAM-GYENING",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-533-0189"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680002515",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680002516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCL - Camillus House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jose Valentin Camilion, DO
• Camille Denis
• Melania Camilleris
• Camillus Health Concern (Good Shepherd Health Center Pharmacy)
• Camillus Health Concern Inc
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus House, Inc.

• Federally Qualified Health Center (FQHC) in Miami, FL
• Providers in Miami, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.