| Entity Name: | CAMILLUS HOUSE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 05 Mar 1987 (38 years ago) |
| Document Number: | N19538 |
| FEI/EIN Number | 650032862 |
| Address: | 1603 NW 7th Avenue, MIAMI, FL, 33136, US |
| Mail Address: | 1603 NW 7th Avenue, MIAMI, FL, 33136, US |
| ZIP code: | 33136 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | CAMILLUS HOUSE, INC., ILLINOIS | CORP_60615993 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447219738 | 2006-03-23 | 2018-08-23 | 1603 NW 7TH AVE, MIAMI, FL, 331361415, US | 1603 NW 7TH AVE, MIAMI, FL, 33136, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-374-1065 |
| Fax | 3055332917 |
Authorized person
| Name | MRS. MARTHA LIDE |
| Role | DIRECTOR OF ADVANCEMENT & OUTCOMES |
| Phone | 3053741065 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | 1113AD286202 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1447219738 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FITZGERALD J. PATRICK ESQ. | Agent | J. PATRICK FITZGERALD & ASSOCIATES, P.A., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| GLORIA EDDIE CEO | President | CAMILLUS HOUSE, MIAMI, FL, 33136 |
| Name | Role | Address |
|---|---|---|
| MOLINA ALBERT R | Chairman | 12200 N.W. 7TH STREET, PLANTATION, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| MOLINA ALBERT R | Director | 12200 N.W. 7TH STREET, PLANTATION, FL, 33325 |
| BONNER SUSAN R | Director | ONESPA WORLD, CORAL GABLES, FL, 33146 |
| SCHIFFER WHITNEY CEO | Director | BERKOWITZ POLLACK BRANT ADVISORY SERVICES, MIAMI, FL, 33131 |
| HILL THOMAS | Director | CAMILLUS HOUSE, MIAMI, FL, 33136 |
| Name | Role | Address |
|---|---|---|
| BONNER SUSAN R | Vice Chairman | ONESPA WORLD, CORAL GABLES, FL, 33146 |
| Name | Role | Address |
|---|---|---|
| HILL THOMAS | Secretary | CAMILLUS HOUSE, MIAMI, FL, 33136 |
| Name | Role | Address |
|---|---|---|
| SCHIFFER WHITNEY CEO | Treasurer | BERKOWITZ POLLACK BRANT ADVISORY SERVICES, MIAMI, FL, 33131 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000003525 | MARKET AT VERDE GARDENS | ACTIVE | 2024-01-05 | 2029-12-31 | No data | 1603 NW 7TH AVENUE, MIAMI, FL, 33136 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2015-08-10 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2015-01-30 | No data | No data |
| AMENDMENT | 2013-03-25 | No data | No data |
| AMENDMENT | 2010-03-12 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2009-06-09 | No data | No data |
| AMENDMENT | 2008-06-19 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2007-10-24 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2003-02-28 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1999-03-04 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1997-10-13 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
