ROSCRANCE INC. (NPI# 1588945869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588945869 |
| Entity Type | Organization |
| Organization Name | ROSCRANCE INC. |
| Other Organization Name | ROSECRANCE HARBOR HOUSE |
| Practice Address |
707 N Court St Rockford IL 61103-6954 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8153911000 |
| Mailing Telephone | 8153911000 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2015-12-04 |
| Authorized Official Name | MR. PHILLIP EATON (CEO / PRESIDENT) |
| Authorized Official Telephone | 8153911000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
04081 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 04081 | 05 |
| Other Name | Type Code |
|---|---|
| Rosecrance Harbor House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865958 | Roscrance Inc. | Clinic/Center | 718 W Killarney St, Urbana, IL 61801-1015 | 2017-11-21 |
| 1174051031 | Roscrance Inc. | Psychiatric Residential Treatment Facility | 1601 University Dr, Rockford, IL 61107-5317 | 2017-05-23 |
| Street Address |
707 N COURT ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-6954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225323561 | Janet Wattles Center | Clinic/Center | 707 N Court St, Rockford, IL 61103-6954 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831486521 | Janet Wattles Center | Clinic/Center | 2014 Auburn St, Rockford, IL 61103-4479 | 2011-07-01 |
| 1659668333 | Janet Wattles Center | Clinic/Center | 2406 Auburn St, Rockford, IL 61103-4495 | 2011-07-01 |
| 1124313465 | Janet Wattles Center | Clinic/Center | 1422 20th St, Rockford, IL 61104-3519 | 2011-06-15 |
| 1578858817 | Janet Wattles Center | Clinic/Center | 1509 Benton St, Rockford, IL 61107-4322 | 2011-06-15 |
| 1366762064 | Lutheran Social Services of Il | Clinic/Center | 308 W State St Ste 205, Rockford, IL 61101-1117 | 2010-06-03 |
| 1306070032 | Along The Path Counseling Services P.C. | Clinic/Center | 433 S Phelps Ave, Suite 2, Rockford, IL 61108-2442 | 2009-05-09 |
| 1851457121 | Joseph H. Vaughn | Clinic/Center | 4875 Manhattan Dr, Rockford, IL 61108 | 2006-12-29 |
| 1558327544 | Janet Wattles Center | Clinic/Center | 526 W State St, Rockford, IL 61101-1214 | 2006-04-26 |
| 1194382069 | Jesse Belle Counseling Pllc | Clinic/Center | 1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440 | 2019-05-24 |
| 1942771548 | Center for The Healing Mind Pllc | Clinic/Center | 6653 Weaver Rd Ste 105, Rockford, IL 61114-8052 | 2018-12-09 |
| Find all providers in ROCKFORD | ||||
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| 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.