ROSECRANCE, INC. (NPI# 1255799938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255799938 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE, INC. |
| Other Organization Name | ROSECRANCE MULBERRY |
| Practice Address |
605 Mulberry St Rockford IL 61103-6746 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8157204960 |
| Practice Fax Number | 8153125770 |
| Mailing Telephone | 8153911000 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | PHILIP EATON (CEO/PRESIDENT) |
| Authorized Official Telephone | 8153875600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0601-0044-A | IL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | A-0601-0043-A | 05 |
| Other Name | Type Code |
|---|---|
| Rosecrance Mulberry | Doing Business As Name - Organization |
| 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 |
| Street Address |
605 MULBERRY ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-6746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497238729 | Richard Wayne Dana I | Counselor | 605 Mulberry St, Rockford, IL 61103-6746 | 2018-09-12 |
| 1174006480 | Andre Hughes | Counselor | 605 Mulberry St, Rockford, IL 61103-6746 | 2018-09-12 |
| 1285040865 | Rosecrance Inc | Community Based Residential Treatment Facility, Mental Illness | 605 Mulberry St, Rockford, IL 61103-6746 | 2014-07-03 |
| 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 | 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 |
| 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 |
| 1144499542 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3815 Harrison Ave, Cru, Rockford, IL 61108-7631 | 2008-02-29 |
| 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.