ROSECRANCE, INC. (NPI# 1497924237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497924237 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE, INC. |
| Practice Address |
201 N 6th St Rockford IL 61107-4101 |
| Mailing Address |
3815 Harrison Ave Rockford IL 61108-7631 |
| Practice Telephone | 8159617288 |
| Practice Fax Number | 8159617285 |
| Mailing Telephone | 8153911000 |
| Mailing Fax Number | 8153915040 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2009-05-22 |
| Authorized Official Name | MR. PHILIP W EATON (PRESIDENT / CEO) |
| Authorized Official Telephone | 8153911000 |
| Authorized Official Credential | MASTERS IN SCIEN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0601-0010-A | IL | Residential Treatment Facilities |
| 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 |
201 N 6TH ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-4101 |
| 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.