RINCON FAMILY SERVICES (NPI# 1740730456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740730456 |
| Entity Type | Organization |
| Organization Name | RINCON FAMILY SERVICES |
| Practice Address |
3942 W North Ave Chicago IL 60647-4639 |
| Mailing Address |
3710 N Kedzie Ave Chicago IL 60618-4504 |
| Practice Telephone | 7735649070 |
| Practice Fax Number | 7732499362 |
| Mailing Telephone | 7735649070 |
| Mailing Fax Number | 7735649197 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2019-03-25 |
| 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 |
| 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 |
| 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 |
3942 W NORTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578731501 | Youth Service Project | Early Intervention Provider Agency | 3942 W North Ave, Chicago, IL 60647-4639 | 2008-02-12 |
| 1760961379 | Colleen Catherine Vargas | Counselor | 3942 W North Ave, Chicago, IL 60647-4639 | 2018-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| 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.