ROSECRANCE INC (NPI# 1144585803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144585803 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE INC |
| Other Organization Name | ROSECRANCE MCHENRY COUNTY |
| Practice Address |
4501 Prime Pkwy Mchenry IL 60050 |
| 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 | 2012-07-09 |
| Last Update Date | 2019-07-02 |
| 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 |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care 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 McHenry County | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1952949802 | Rosecrance Inc | Psychiatric Residential Treatment Facility | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2019-12-11 |
| Street Address |
4501 PRIME PKWY |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928036 | Samantha Alvarado | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-05-21 |
| 1366904690 | Cassidy Lea Serafin | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-04-04 |
| 1932661253 | Lawonda P Miller | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-04-04 |
| 1295294403 | Sydney Smith | Social Worker | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-03-18 |
| 1215410766 | Kaitlin Armon | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-09-11 |
| 1740762913 | Rebecca Anne Bleeker | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-09-04 |
| 1518446574 | Jasmine Pasimio | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-08-10 |
| 1285156406 | Heather Fisher | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2017-07-10 |
| 1447618129 | Rosecrance, Inc. | Clinic/Center | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2016-02-09 |
| 1972968154 | Calie Anderson | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1932754447 | Association for Individual Development | Clinic/Center | 3512 Pearl St, Mchenry, IL 60050-4442 | 2019-08-02 |
| 1114457850 | The Tabor Therapy Group, Inc | Clinic/Center | 5400 W Elm St Suite 104, Suite 104, Mchenry, IL 60050-6005 | 2017-06-15 |
| 1598912149 | Mchenry County Mental Health Board | Clinic/Center | 5320 W Elm St, Mchenry, IL 60050-4029 | 2008-08-26 |
| 1538650692 | Sutton Smith | Clinic/Center | 5342 W Elm St, Mchenry, IL 60050-4029 | 2018-05-24 |
| 1457841660 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-05-14 |
| 1023546710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2017-05-25 |
| 1063773372 | North Central Behavioral Health Systems, Inc | Clinic/Center | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2012-06-04 |
| 1437424116 | North Central Behavioral Health Systems,inc. | Clinic/Center | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2012-03-14 |
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|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 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.