NPIMap

Organization Active NPI

Rincon Family Services

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1619326444
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
14003 Issued in IL
Legal business name
RINCON FAMILY SERVICES
Practice address
4720 N Sheridan Rd
Chicago, IL 60640-5022
Phone
(844) 384-7371
Fax
(773) 250-6056
NPI assigned
Jun 13, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eddy Borrayo
Title
Executive Director
Phone
(773) 564-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 14003 IL Primary

Addresses

Primary practice location

4720 N Sheridan Rd
Chicago, IL 60640-5022

Mailing address

3710 N Kedzie Ave
Chicago, IL 60618-4504
Phone (773) 564-9070

Other identifiers 1

IdentifierTypeStateIssuer
14003MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Rincon Family Services21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1619326444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184504",
            "telephone_number": "773-564-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405022",
            "telephone_number": "844-384-7371",
            "fax_number": "773-250-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINCON FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "BORRAYO",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-564-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "14003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.