ROSECRANCE INC (NPI# 1427406859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427406859 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE INC |
| Practice Address |
1801 Fox Dr Champaign IL 61820 |
| 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 | 2016-05-26 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | PHIL EATON (CEO / PRESIDENT) |
| Authorized Official Telephone | 8153911000 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 04081 | 05 |
| 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 |
1801 FOX DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831167337 | Community Elements Inc | Clinic/Center | 1801 Fox Dr, Champaign, IL 61820-7236 | 2006-03-09 |
| 1720615628 | Jessica Starr Andrews | Psychologist | 1801 Fox Dr, Champaign, IL 61820-7236 | 2020-03-23 |
| 1750933834 | Robyn Bannon | Social Worker | 1801 Fox Dr, Champaign, IL 61820-7236 | 2019-07-10 |
| 1730747510 | Ray Emerson Turner | Counselor | 1801 Fox Dr, Champaign, IL 61820-7236 | 2019-06-05 |
| 1164089017 | Adam Griffy | Social Worker | 1801 Fox Dr, Champaign, IL 61820-7236 | 2019-05-28 |
| 1932673779 | Cameron Hunter | Counselor | 1801 Fox Dr, Champaign, IL 61820-7236 | 2019-01-15 |
| 1538647565 | Bridgette Ward | Social Worker | 1801 Fox Dr, Champaign, IL 61820-7236 | 2018-08-01 |
| 1538650007 | Christopher Dobbins | Social Worker | 1801 Fox Dr, Champaign, IL 61820-7236 | 2018-05-21 |
| 1306335278 | Brittney Black | Behavior Technician | 1801 Fox Dr, Champaign, IL 61820-7236 | 2018-05-07 |
| 1467959411 | Nicole Kucera | Social Worker | 1801 Fox Dr, Champaign, IL 61820-7236 | 2018-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| 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 |
|---|---|---|---|---|
| 1154955037 | Martin Srajek, Phd., Lcsw, Ltd | Clinic/Center | 206 N Randolph St Ste 534-36, Champaign, IL 61820-3949 | 2020-02-28 |
| 1467772160 | Lutheran Social Services of Il | Clinic/Center | 103 S Country Fair Dr, Champaign, IL 61821-3061 | 2010-06-03 |
| 1619124302 | Community Elements, Inc. | Clinic/Center | 801 N Walnut St, Champaign, IL 61820-3055 | 2008-08-25 |
| 1093962961 | Community Elements, Inc | Clinic/Center | 614 W Healey St, Champaign, IL 61820-5025 | 2008-08-22 |
| 1831167337 | Community Elements Inc | Clinic/Center | 1801 Fox Dr, Champaign, IL 61820-7236 | 2006-03-09 |
| 1669084877 | Coles County Mental Health Association, Inc. | Clinic/Center | 1701 S Prospect Ave Ste 205, Champaign, IL 61820-7054 | 2020-08-19 |
| 1174084677 | Family Service of Champaign County | Clinic/Center | 405 S State St, Champaign, IL 61820-5129 | 2019-03-27 |
| 1083104558 | Rosecrance, Inc. | Clinic/Center | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2018-05-10 |
| 1902311442 | Rosecrance, Inc. | Clinic/Center | 122 W Hill St, Champaign, IL 61820-3519 | 2017-12-06 |
| 1871047209 | Cunningham Children's Home of Urbana Il | Clinic/Center | 701 Devonshire Dr, Champaign, IL 61820-7337 | 2016-08-15 |
| Find all providers in CHAMPAIGN | ||||
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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.