RINCON FAMILY SERVICES (NPI# 1316497597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316497597 |
| Entity Type | Organization |
| Organization Name | RINCON FAMILY SERVICES |
| Practice Address |
4720 N Sheridan Rd Chicago IL 60640-5022 |
| Mailing Address |
3710 N Kedzie Ave Chicago IL 60618-4504 |
| Practice Telephone | 8443847371 |
| Practice Fax Number | 7732506056 |
| Mailing Telephone | 7735649070 |
| Mailing Fax Number | 7735649197 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| 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 | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 1003232034 | Rincon Family Services | Clinic/Center | 5453 W Diversey Ave, Chicago, IL 60639-1413 | 2014-03-14 |
| 1427271568 | Rincon Family Services | Clinic/Center | 3809 W Grand Ave, Chicago, IL 60651 | 2007-04-10 |
| 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 |
4720 N SHERIDAN RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912311275 | Rincon Family Services | Community/Behavioral Health | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2014-06-16 |
| 1619326444 | Rincon Family Services | Community/Behavioral Health | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2016-06-13 |
| 1043675788 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2015-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| 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.