RINCON FAMILY SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 5457 W Diversey Ave, Chicago, IL 60639-1413

RINCON FAMILY SERVICES (NPI# 1114505401) 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) 1114505401
Entity Type Organization
Organization Name RINCON FAMILY SERVICES
Practice Address 5457 W Diversey Ave
Chicago
IL 60639-1413
Practice Telephone 7735649070
Mailing Address 3942 W North Ave
Chicago
IL 60647-4639
Mailing Telephone 7735649070
Certification Date 2021-04-06
Enumeration Date 2021-03-30
Last Update Date 2021-04-06
Authorized Official Telephone 7735649070
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifiers

Identifier State Issuer Type Code
14003 IL MEDICAID

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Other URL Gateway 5457 W Diversey Ave, Chicago, IL 606391413

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1104243823 Rincon Family Services · El Rincon Community Clinic Community/Behavioral Health 3710 N Kedzie Ave, Chicago, IL 60618-4504 2014-03-19
1003232034 Rincon Family Services Clinic/Center - Mental Health (Including Community Mental Health Center) 5453 W Diversey Ave, Chicago, IL 60639-1413 2014-03-14
1427271568 Rincon Family Services Clinic/Center - Methadone Clinic 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 - Mental Health (Including Community Mental Health Center) 3942 W North Ave, Chicago, IL 60647-4639 2016-10-05
1982150017 Rincon Family Services Community/Behavioral Health 6926 N Glenwood Ave, Chicago, IL 60626-3412 2016-08-29
1841649670 Rincon Family Services Home Health 3710 N Kedzie Ave, Chicago, IL 60618-4504 2016-06-13
1093164824 Rincon Family Services Clinic/Center - Rehabilitation, Substance Use Disorder 5453 W Diversey Ave, Chicago, IL 60639-1413 2016-06-13
1588013312 Rincon Family Services Clinic/Center - Mental Health (Including Community Mental Health Center) 3809 W Grand Ave, Chicago, IL 60651-2004 2016-06-13
1619326444 Rincon Family Services Community/Behavioral Health 4720 N Sheridan Rd, Chicago, IL 60640-5022 2016-06-13
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Office Location

Street Address 5457 W DIVERSEY AVE
City CHICAGO
State IL
Zip Code 60639-1413

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003232034 Rincon Family Services Clinic/Center - Mental Health (Including Community Mental Health Center) 5453 W Diversey Ave, Chicago, IL 60639-1413 2014-03-14
1760969588 Stephanie Clark Counselor - Professional 5453 W Diversey Ave, Chicago, IL 60639-1413 2018-07-24
1093164824 Rincon Family Services Clinic/Center - Rehabilitation, Substance Use Disorder 5453 W Diversey Ave, Chicago, IL 60639-1413 2016-06-13
1558710384 Rincon Family Services Clinic/Center - Mental Health (Including Community Mental Health Center) 5453 W Diversey Ave, Chicago, IL 60639-1413 2016-06-13

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1356927065 Veronica Lee Whitnell Audiologist 1715 N Kilpatrick Ave, Chicago, IL 60639 2021-03-23
1881293801 Wh Il Dental Pllc · Walmart Health Dentist 1715 N. Kilpatrick Ave, Chicago, IL 60639 2020-10-21
1336748367 Wh Il Medical Pllc · Walmart Health Psychologist 1715 N. Kilpatrick Ave., Chicago, IL 60639 2020-10-21
1568012375 Ellen E Cox Physical Therapist 4369 W Diversey Ave, Chicago, IL 60639 2019-09-13
1508465519 Wh Il Optometry Pllc · Walmart Health Optometrist 1715 N. Kilpatrick Ave., Chicaco, IL 60639 2020-10-21
1144830985 Nancy Olivares Nurse's Aide 2608 N Moody Ave, Chicago, IL 60639-1024 2020-08-06
1124672142 Katie Kwan Optometrist 2700 N Narragansett Ave # F4-F5, Chicago, IL 60639-1083 2019-07-29
1487139085 Dunklinson Dialysis LLC · Brickyard Dialysis Clinic/Center - End-Stage Renal Disease (ESRD) Treatment 2640 N Narragansett Ave Ste D8, Chicago, IL 60639-1096 2018-09-28
1407482219 Access Community Health Network Clinic/Center - Federally Qualified Health Center (FQHC) 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 2020-03-13
1023623055 Paradigm Rehab and Consultancy Inc Physical Therapist 2711 N Mcvicker Ave, Chicago, IL 60639-1115 2020-09-15
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487231338 Agents of Hope Training& Information Center Clinic/Center - Mental Health (Including Community Mental Health Center) 6412 N Damen Ave Apt 3e, Chicago, IL 60645-5627 2021-03-26
1174109672 Sean M Pfeiffer Clinic/Center - Mental Health (Including Community Mental Health Center) 1801 N Spaulding Ave, Chicago, IL 60647-4926 2021-03-23
1568056141 New Narratives Clinic/Center - Mental Health (Including Community Mental Health Center) 155 N Michigan Ave Ste 223, Chicago, IL 60601-7511 2021-02-24
1336733153 Anchored In Wellness Chicago LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 4807 S Ashland Ave Apt 203, Chicago, IL 60609-4242 2021-02-22
1154915122 Serenity Shield Inc. Clinic/Center - Mental Health (Including Community Mental Health Center) 2 E Erie St Apt 2712, Chicago, IL 60611-6211 2021-02-21
1932791571 Reservoir Resources Pllc Clinic/Center - Mental Health (Including Community Mental Health Center) 2650 W Montrose Ave Ste 207, Chicago, IL 60618-1674 2021-02-04
1184215048 Families Together Therapy Services Clinic/Center - Mental Health (Including Community Mental Health Center) 410 S Michigan Ave Ste 622, Chicago, IL 60605-1452 2021-02-02
1467042283 Madeina Wellness Clinic/Center - Mental Health (Including Community Mental Health Center) 3049 W Grace St # 1, Chicago, IL 60618-4539 2021-01-25
1790373702 Universal Family Connection, Inc. Clinic/Center - Mental Health (Including Community Mental Health Center) 7949 S Western Ave, Chicago, IL 60620-5941 2021-01-05
1588252878 Sce Wellness Pllc Clinic/Center - Mental Health (Including Community Mental Health Center) 4856 N Christiana Ave Apt 2, Chicago, IL 60625-5216 2021-01-04
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Competitor

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City CHICAGO
Zip Code 60639

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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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