ROSECRANCE INC (NPI# 1245216050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245216050 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE INC |
| Other Organization Name | ROSECRANCE HARRISON - WOMEN'S |
| Practice Address |
3815 Harrison Ave Women's Rockford IL 61108-7631 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8153910100 |
| Practice Fax Number | 8153915040 |
| Mailing Telephone | 8153910100 |
| Mailing Fax Number | 8153915040 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MR. PHILIP W EATON (PRESIDENT CEO) |
| Authorized Official Telephone | 8153910100 |
| Authorized Official Credential | MASTER OF SCIENC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Rosecrance Harrison - Women's | 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 |
| 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 |
3815 HARRISON AVE WOMEN'S |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-7631 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1194979237 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3815 Harrison Ave, Detox A2 - 2nd Floor Northwest A2, Rockford, IL 61108-7631 | 2008-11-14 |
| 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.