ROSECRANCE, INC.


Address: 3815 Harrison Ave, Detox A2 - 2nd Floor Northwest A2, Rockford, IL 61108-7631
Phone: 8153911000

ROSECRANCE, INC. (NPI# 1194979237) 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) 1194979237
Entity Type Organization
Organization Name ROSECRANCE, INC.
Other Organization Name ROSECRANCE HARRISON - DETOX A2
Practice Address 3815 Harrison Ave
Detox A2 - 2nd Floor Northwest A2
Rockford
IL 61108-7631
Practice Telephone 8153911000
Practice Fax Number 8153915040
Mailing Telephone 8153911000
Mailing Fax Number 8153915040
Enumeration Date 2008-11-14
Last Update Date 2015-11-25
Authorized Official Name MR. PHILIP W. EATON (CEO / PRESIDENT)
Authorized Official Telephone 8159311000
Authorized Official Credential MASTER OF SCIENC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Rosecrance Harrison - Detox A2 Doing Business As Name - Organization

Other Provider IDs and Locations

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
1114416690 Rosecrance, Inc. Substance Abuse Rehabilitation Facility 2302 Moreland Blvd, Champaign, IL 61822-1398 2018-05-09
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

Office Location

Street Address 3815 HARRISON AVE
DETOX A2 - 2ND FLOOR NORTHWEST A2
City ROCKFORD
State IL
Zip Code 61108-7631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568459709 Rosecrance Inc Clinic/Center 3815 Harrison Ave, Outpatient, Rockford, IL 61108-7631 2005-10-03
1497364020 Kaitlyn Sornsin Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-07-29
1760017800 Amanda Renee Miller Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-03-09
1194355867 Andrew Walters Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-01-22
1609406347 Linda Jones Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-01-22
1801426788 Amanda Leever Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-01-20
1336779263 Stephanie Nicole Hardcastle Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-01-20
1972133841 Jennifer Lee Sanders Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-01-20
1144850314 Laura Olson Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-01-16
1609406842 Peter Loehr Registered Nurse 3815 Harrison Ave, Rockford, IL 61108-7631 2020-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952862617 Isr Enterprises, Inc. Homemaker 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 2019-03-26
1003306465 Adrienne Nicole Black Behavior Technician 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 2018-05-11
1184085201 Integrative Healing Center, LLC Clinic/Center 6019 Fincham Drive, Rockford, IL 61108 2016-03-17
1730547936 Perryville Dentist PC Dentist 845 S Perryville Rd, Unit 119, Rockford, IL 61108 2016-02-02
1023489853 Nicole Ping Ticknor Counselor 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 2015-10-20
1275940348 Northwest Home Care, Inc. Home Health 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 2014-07-21
1487072922 Alecia Greenlee Psychiatry & Neurology Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 2014-04-02
1871925446 Maria Laura Gustafson Interpreter 3208 Wesleyan Ave., Rockford, IL 61108 2013-08-06
1346582822 Joseph Peevey Pathology 5666 E State Street, Department of Pathology, Rockford, IL 61108 2013-03-21
1134466923 James Henry Peck Hearing Instrument Specialist 2424 Charles St, Rockford, IL 61108 2013-01-14
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568607117 Rosecrance, Inc. Substance Abuse Rehabilitation Facility 1365 University Dr, Rockford, IL 61107-5319 2008-12-11
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
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
1255799938 Rosecrance, Inc. Substance Abuse Rehabilitation Facility 605 Mulberry St, Rockford, IL 61103-6746 2016-02-09
1013289446 Rosecrance Inc Substance Abuse Rehabilitation Facility 1021 N Mulford Rd, Rockford, IL 61107-3877 2012-02-01
1396041083 Rosecrance Inc Substance Abuse Rehabilitation Facility 3815 Harrison Ave, Rockford, IL 61108-7631 2011-01-28
1144499542 Rosecrance, Inc. Substance Abuse Rehabilitation Facility 3815 Harrison Ave, Cru, Rockford, IL 61108-7631 2008-02-29
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61108

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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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