Rosecrance Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ROSECRANCE INC

Practice address

47 6TH Ave
Suite L
La Grange, IL 60525-2499

Phone

(815) 391-1000

Fax

(815) 316-4726

NPI assigned

Jun 28, 2016

Last updated

Apr 24, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phil Eaton, MBA

Title

Ceo / President

Phone

(815) 391-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Rosecrance Inc97 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Roscrance Inc.

  dba Rosecrance Griffin Willaimson

  • Substance Abuse Rehabilitation Facility
  • Rockford, IL
  • NPI 1174051031
  NPD tax ID
• Rosecrance

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1063891646
  NPD tax ID
• Rosecrance

  • Primary Care Clinic/Center
  • Rockford, IL
  • NPI 1164174140
  NPD tax ID
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1013289446
  NPD tax ID
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Urbana, IL
  • NPI 1013364454
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Freeport, IL
  • NPI 1023764693
  NPD tax ID
• Rosecrance Inc

  • Substance Abuse Rehabilitation Facility
  • Champaign, IL
  • NPI 1043774037
  NPD tax ID
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
  • NPI 1083061469
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Crystal Lake

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crystal Lake, IL
  • NPI 1124449731
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Dakota Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crystal Lake, IL
  • NPI 1134575558
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance McHenry County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McHenry, IL
  • NPI 1144585803
  NPD tax ID
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kankakee, IL
  • NPI 1194425702
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candice J Holder, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockford, IL
  • NPI 1376976530
  NPD
• Dorothy Deette Burke, ARNP/BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kokomo, IN
  • NPI 1497883169
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1053762344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073877",
            "telephone_number": "815-391-1000",
            "fax_number": "815-316-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 6TH AVE",
            "address_2": "SUITE L",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252499",
            "telephone_number": "815-391-1000",
            "fax_number": "815-316-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "815-391-1000",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in La Grange, IL
• Providers in La Grange, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.