Camillus House, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

13=========04 Issued in FL

Legal business name

CAMILLUS HOUSE, INC.

Practice address

1603 NW 7TH Ave
Miami, FL 33136

Phone

(305) 374-1065

Fax

(305) 533-2917

NPI assigned

Mar 23, 2006

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jaymee Kent

Title

Director of Quality and Outcomes

Phone

(305) 374-1065

Specialties & licenses 3

Addresses

Other identifiers 1

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1447219738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361415",
            "telephone_number": "305-374-1065",
            "fax_number": "305-533-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-374-1065",
            "fax_number": "305-533-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLUS HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "JAYMEE",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY AND OUTCOMES",
        "authorized_official_telephone_number": "305-374-1065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "13=========04",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1113AD286202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447219738",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Pharmacy (Camillus Pharmacy & Discount)
• Camillus Pharmacy LC
• Camillus Pharmacy LLC (Camillus Pharmacy & Discount)
• Camilo E. Lopez PA
• Giselle Alexandra Camilo, PMHNP

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.