NPIMap

Organization Active NPI

Rincon Family Services

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1982150017
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00488 Issued in IL
Legal business name
RINCON FAMILY SERVICES
Practice address
6926 N Glenwood Ave
Chicago, IL 60626-3412
Phone
(773) 338-9999
Fax
(773) 338-9519
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Mr. Eddy Borrayo
Title
President&Ceo
Phone
(773) 564-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 00488 IL Primary

Addresses

Primary practice location

6926 N Glenwood Ave
Chicago, IL 60626-3412

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00488MedicaidIL

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": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1982150017",
    "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",
            "fax_number": "773-564-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 N GLENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263412",
            "telephone_number": "773-338-9999",
            "fax_number": "773-338-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINCON FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "BORRAYO",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "PRESIDENT&CEO",
        "authorized_official_telephone_number": "773-564-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "00488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00488",
            "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 Aug 29, 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.