RINCON FAMILY SERVICES (NPI# 1003232034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003232034 |
| Entity Type | Organization |
| Organization Name | RINCON FAMILY SERVICES |
| Practice Address |
5453 W Diversey Ave Chicago IL 60639-1413 |
| Mailing Address |
3942 W North Ave Chicago IL 60647-4639 |
| Practice Telephone | 7735649070 |
| Practice Fax Number | 7732499362 |
| Mailing Telephone | 7735649070 |
| Mailing Fax Number | 7732499362 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | MR. EDDY BORRAYO (PRESIDENT/CEO) |
| Authorized Official Telephone | 7735649070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150017 | Rincon Family Services | Community/Behavioral Health | 6926 N Glenwood Ave, Chicago, IL 60626-3412 | 2016-08-29 |
| 1912311275 | Rincon Family Services | Community/Behavioral Health | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2014-06-16 |
| 1104243823 | Rincon Family Services | Community/Behavioral Health | 3710 N Kedzie Ave, Chicago, IL 60618-4504 | 2014-03-19 |
| 1427271568 | Rincon Family Services | Clinic/Center | 3809 W Grand Ave, Chicago, IL 60651 | 2007-04-10 |
| 1316497597 | Rincon Family Services | Community/Behavioral Health | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2016-10-11 |
| 1740730456 | Rincon Family Services | Clinic/Center | 3942 W North Ave, Chicago, IL 60647-4639 | 2016-10-05 |
| 1265881098 | Rincon Family Services | Clinic/Center | 3710 N Kedzie Ave, Chicago, IL 60618-4504 | 2016-06-13 |
| 1558710384 | Rincon Family Services | Clinic/Center | 5453 W Diversey Ave, Chicago, IL 60639-1413 | 2016-06-13 |
| 1093164824 | Rincon Family Services | Clinic/Center | 5453 W Diversey Ave, Chicago, IL 60639-1413 | 2016-06-13 |
| 1588013312 | Rincon Family Services | Clinic/Center | 3809 W Grand Ave, Chicago, IL 60651-2004 | 2016-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RINCON FAMILY SERVICES | 3942 W. North Avenue, Chicago, IL 60647-4639 |
| Street Address |
5453 W DIVERSEY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760969588 | Stephanie Clark | Counselor | 5453 W Diversey Ave, Chicago, IL 60639-1413 | 2018-07-24 |
| 1558710384 | Rincon Family Services | Clinic/Center | 5453 W Diversey Ave, Chicago, IL 60639-1413 | 2016-06-13 |
| 1093164824 | Rincon Family Services | Clinic/Center | 5453 W Diversey Ave, Chicago, IL 60639-1413 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
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| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.