ROSECRANCE INC (NPI# 1356327340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356327340 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE INC |
| Other Organization Name | ROSECRANCE GRIFFIN WILLIAMSON |
| Practice Address |
1601 University Dr Rosecrance Inc Griffin Williamson Rockford IL 61107-5317 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8153911000 |
| Practice Fax Number | 8154848640 |
| Mailing Telephone | 8153910100 |
| Mailing Fax Number | 8153915040 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2019-07-01 |
| Authorized Official Name | MR. PHILLIP W EATON (PRESIDENT/CEO) |
| Authorized Official Telephone | 8153910100 |
| Authorized Official Credential | MS |
| 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 | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Rosecrance Griffin Williamson | 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 |
| 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 |
1601 UNIVERSITY DR ROSECRANCE INC GRIFFIN WILLIAMSON |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196537 | Alexandra Lundsteen | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2020-08-30 |
| 1255974705 | Monica Reu | Social Worker | 1601 University Dr, Rockford, IL 61107-5317 | 2019-10-28 |
| 1386203511 | Ashley Maki | Social Worker | 1601 University Dr, Rockford, IL 61107-5317 | 2019-06-11 |
| 1104489525 | Amber Krystene Shappard | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2019-04-22 |
| 1013570431 | Jeremy Adon Mcintosh | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2019-04-22 |
| 1508322348 | Danielle Kay Darelius | Registered Nurse | 1601 University Dr, Rockford, IL 61107-5317 | 2019-02-18 |
| 1831655679 | Jesse Alexis Medina | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2019-02-18 |
| 1497211239 | Sandra Knezevic | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2019-02-18 |
| 1477019206 | Christopher Scott Frantz | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2019-02-18 |
| 1366908105 | Catelyn Kaye Friis | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2019-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| 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.