ROSECRANCE, INC. (NPI# 1447618129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447618129 |
Entity Type | Organization |
Organization Name | ROSECRANCE, INC. |
Other Organization Name | ROSECRANCE MCHENRY COUNTY |
Practice Address |
4501 Prime Pkwy Mchenry IL 60050-7000 |
Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
Practice Telephone | 8153911000 |
Practice Fax Number | 8153164726 |
Mailing Telephone | 8153911000 |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-02-09 |
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 | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0601-0038-A | IL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | A-0601-0038-A | 05 |
Other Name | Type Code |
---|---|
Rosecrance McHenry County | 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 |
4501 PRIME PKWY |
City | MCHENRY |
State | IL |
Zip Code | 60050-7000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144585803 | Rosecrance Inc | Clinic/Center | 4501 Prime Pkwy, Mchenry, IL 60050 | 2012-07-09 |
1558928036 | Samantha Alvarado | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-05-21 |
1366904690 | Cassidy Lea Serafin | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-04-04 |
1932661253 | Lawonda P Miller | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-04-04 |
1295294403 | Sydney Smith | Social Worker | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-03-18 |
1215410766 | Kaitlin Armon | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-09-11 |
1740762913 | Rebecca Anne Bleeker | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-09-04 |
1518446574 | Jasmine Pasimio | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-08-10 |
1285156406 | Heather Fisher | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2017-07-10 |
1972968154 | Calie Anderson | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2015-12-15 |
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1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144585803 | Rosecrance Inc | Clinic/Center | 4501 Prime Pkwy, Mchenry, IL 60050 | 2012-07-09 |
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1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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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.