ROSECRANCE INC (NPI# 1518398387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518398387 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE INC |
| Practice Address |
650 W State St Rockford IL 61102-2201 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8153911000 |
| Practice Fax Number | 8153164726 |
| Mailing Telephone | 8153911000 |
| Mailing Fax Number | 8153164726 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-05 |
| Authorized Official Name | MR. PHIL EATON (CEO/PRESIDENT) |
| Authorized Official Telephone | 8153911000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1336529858 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 1556 W. Waveland Avenue, Chicago, IL 60613-3601 | 2015-06-01 |
| 1720488604 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 876 Pleasant St, Woodstock, IL 60098-2245 | 2014-08-28 |
| 1124449731 | Rosecrance Inc | Clinic/Center | 422 Tracy Court, Crystal Lake, IL 60014 | 2013-12-27 |
| 1184976201 | Rosecrance Inc | Clinic/Center | N27w23957 Paul Rd, Suite 101, Pewaukee, WI 53072-6223 | 2012-10-12 |
| 1144585803 | Rosecrance Inc | Clinic/Center | 4501 Prime Pkwy, Mchenry, IL 60050 | 2012-07-09 |
| 1356327340 | Rosecrance Inc | Clinic/Center | 1601 University Dr, Rosecrance Inc Griffin Williamson, Rockford, IL 61107-5317 | 2005-12-21 |
| 1407832611 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 215 N Court St, Court Street United Methodist Church, Rockford, IL 61103-6802 | 2005-12-20 |
| 1770569972 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 810 E State St Ste 200, River District Clinic, Rockford, IL 61104-1001 | 2005-12-20 |
| 1568459709 | Rosecrance Inc | Clinic/Center | 3815 Harrison Ave, Outpatient, Rockford, IL 61108-7631 | 2005-10-03 |
| Street Address |
650 W STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61102-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316112808 | Tricia Corrigan | Nurse Practitioner | 650 W State St, Rockford, IL 61102-2201 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205115383 | Renee Lynn Keeney | Advanced Practice Midwife | 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 | 2011-08-08 |
| 1689895906 | Linda Lou O'reilly | Local Education Agency (LEA) | 1515 S. Meridian Road, Rockford, IL 61102 | 2007-05-02 |
| 1801012992 | Jennifer Anne Boyd | Developmental Therapist | Nia 1515 S. Meridian Rd., Rockford, IL 61102 | 2007-04-17 |
| 1447751623 | Cynthia Uwase | Dentist | 1200 W State St, Rockford, IL 61102 | 2018-02-23 |
| 1033591847 | Jithinraj Edakkanambeth Varayil | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-29 |
| 1194106849 | Naomi Thompson | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-17 |
| 1811377617 | Serene Antoinette Bethune | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-05 |
| 1013188408 | Gary Patrick Fernando | Pediatrics | 1200 W State St, Rockford, IL 61102 | 2008-03-13 |
| 1265602130 | Martin A Ganan | Pharmacist | 1200 W State St, Pharmacy, Rockford, IL 61102 | 2008-03-07 |
| 1609173434 | Kellie J Gibbons | Registered Nurse | 650 W State Street, Winnebago County Jail Medical Unit, Rockford, IL 61102-0000 | 2011-02-14 |
| Find all providers in zip 61102 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356327340 | Rosecrance Inc | Clinic/Center | 1601 University Dr, Rosecrance Inc Griffin Williamson, Rockford, IL 61107-5317 | 2005-12-21 |
| 1568459709 | Rosecrance Inc | Clinic/Center | 3815 Harrison Ave, Outpatient, Rockford, IL 61108-7631 | 2005-10-03 |
| 1528426202 | Rosecrance, Inc. | Clinic/Center | 2704 N Main St, Rockford, IL 61103-3112 | 2016-02-09 |
| 1538527213 | Rosecrance, Inc. | Clinic/Center | 8616 Northern Ave, Rockford, IL 61107-5309 | 2016-02-09 |
| 1699106468 | Rosecrance Inc | Clinic/Center | 526 W State St, Rockford, IL 61101-1214 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROSECRANCE INC.
| 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.