RINCON FAMILY SERVICES


Address: 3710 N Kedzie Ave, Chicago, IL 60618-4504
Phone: 7735649070

RINCON FAMILY SERVICES (NPI# 1841649670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841649670
Entity Type Organization
Organization Name RINCON FAMILY SERVICES
Practice Address 3710 N Kedzie Ave
Chicago
IL 60618-4504
Practice Telephone 7735649070
Practice Fax Number 7732499362
Mailing Telephone 7735649070
Enumeration Date 2016-06-13
Last Update Date 2018-11-01
Authorized Official Name MR. EDDY BORRAYO (PRESIDENT/CEO)
Authorized Official Telephone 7735649070
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health INH1612051 IL Agencies

Other Provider Identifier

State Issuer Identifier Type Code
IL INH1612051 05

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities RINCON FAMILY SERVICES 3942 W. North Avenue, Chicago, IL 60647-4639

Office Location

Street Address 3710 N KEDZIE AVE
City CHICAGO
State IL
Zip Code 60618-4504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104243823 Rincon Family Services Community/Behavioral Health 3710 N Kedzie Ave, Chicago, IL 60618-4504 2014-03-19
1578105672 Beth Dlouhy Social Worker 3710 N Kedzie Ave, Chicago, IL 60618-4504 2019-10-10
1265881098 Rincon Family Services Clinic/Center 3710 N Kedzie Ave, Chicago, IL 60618-4504 2016-06-13
1497120117 Rincon Family Services Community/Behavioral Health 3710 N Kedzie Ave, Chicago, IL 60618-4504 2015-12-07

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City CHICAGO
Zip Code 60618

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Dataset Information

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.

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