RINCON FAMILY SERVICES (NPI# 1588013312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588013312 |
| Entity Type | Organization |
| Organization Name | RINCON FAMILY SERVICES |
| Practice Address |
3809 W Grand Ave Chicago IL 60651-2004 |
| Mailing Address |
3710 N Kedzie Ave Chicago IL 60618-4504 |
| Practice Telephone | 7732760200 |
| Practice Fax Number | 7732764226 |
| Mailing Telephone | 7735649070 |
| Mailing Fax Number | 7735649197 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | MR. EDDY BORRAYO (EXECUTIVE DIRECTOR) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 14003 | 05 |
| 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 |
| 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 |
| 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 |
3809 W GRAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60651-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427271568 | Rincon Family Services | Clinic/Center | 3809 W Grand Ave, Chicago, IL 60651 | 2007-04-10 |
| 1720513344 | Rachel E Clarke | Social Worker | 3809 W Grand Ave, Chicago, IL 60651 | 2017-04-21 |
| 1649657719 | Rincon Family Services | Clinic/Center | 3809 W Grand Ave, Chicago, IL 60651-2004 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215474978 | Kanesha Walker Amaro | Counselor | 5910 W Division, Chicago, IL 60651 | 2017-01-19 |
| 1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
| 1326596321 | Giselle Tisha Wallace | Nurse's Aide | 5809 W Rice, Chgo, IL 60651 | 2016-09-19 |
| 1811385214 | Jeanette Rodriguez | Social Worker | 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 | 2015-01-07 |
| 1801147475 | Diane Dickens-rogers | Massage Therapist | 5700 W. Chicago Ave., Chicago, IL 60651 | 2012-09-24 |
| 1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
| 1770860983 | Christine C Osborne | Pharmacist | 1541 N.central Ave, Chicago, IL 60651 | 2011-11-16 |
| 1629206388 | Habilitative Systems Inc | Case Management | 1049 N Drake Ave, Chicago, IL 60651 | 2009-07-01 |
| 1841428547 | Habilitative Systems, Inc. | Case Management | 4234 W Potomac Ave, Chicago, IL 60651 | 2009-07-01 |
| 1306074000 | Habilitative Systems, Inc | Case Management | 915 N Massasoit Ave, Chicago, IL 60651 | 2009-07-01 |
| Find all providers in zip 60651 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 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.