ROSECRANCE, INC. (NPI# 1114416690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114416690 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE, INC. |
| Practice Address |
2302 Moreland Blvd Champaign IL 61822-1398 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 2173567576 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | RACHEL SHEETS (MANAGED CARE CONTRACTING ASSISTANT) |
| Authorized Official Telephone | 8153875680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456159 | Rosecrance, Inc. | Clinic/Center | N27w23957 Paul Rd Ste 101, Pewaukee, WI 53072-6223 | 2018-08-07 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| 1346521630 | Rosecrance, Inc. | Clinic/Center | 915 Alexandra Dr, Belvidere, IL 61008-6512 | 2011-08-31 |
| 1558599803 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 215 N. Court Street, Methodist Church, Rockford, IL 61103-6802 | 2009-06-25 |
| 1568607117 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 1365 University Dr, Rockford, IL 61107-5319 | 2008-12-11 |
| 1245480060 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 54 S Jackson St, Janesville, WI 53548-3837 | 2008-09-29 |
| 1205005048 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2415 E State St, Rockford, IL 61108-1749 | 2008-02-26 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1811166754 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 1601 N University Dr, Rockford, IL 61107-5317 | 2008-02-25 |
| 1083104558 | Rosecrance, Inc. | Clinic/Center | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2018-05-10 |
| Street Address |
2302 MORELAND BLVD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920494 | Brandi Weddle | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2020-10-19 |
| 1922606235 | Matthew Kenneth Rogers | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2020-10-09 |
| 1609482173 | Kaitlyn Ann Taylor-johnson | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2020-09-21 |
| 1235745704 | Alec R Hager | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2020-09-21 |
| 1518571348 | Marcus A Frye | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2020-08-31 |
| 1518577618 | Carl Daly | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2020-08-04 |
| 1073153797 | Jada Raine Heck | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2020-01-10 |
| 1770127011 | Nicholetti White | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2019-10-30 |
| 1194373100 | Naomi Willis | Social Worker | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2019-09-03 |
| 1043774037 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396299665 | Prairie Center Health Systems | Substance Abuse Rehabilitation Facility | 122 W Hill St, Champaign, IL 61820-3519 | 2016-08-04 |
| 1043774037 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2019-01-24 |
| 1538631122 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2018-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
| 1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
| 1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| Find all providers with the same taxonomy | ||||
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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.