NPIMap

Organization Active NPI

BHC Streamwood Hospital Inc

Doing business as Rock River Academy

  • Psychiatric Residential Treatment Facility
  • Rockford, IL
National Provider Identifier
1073743423
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
47613710 Issued in IL
Legal business name
BHC STREAMWOOD HOSPITAL INC
Doing business as
Rock River Academy
Practice address
3445 Elmwood Rd
Rockford, IL 61101-9529
Phone
(815) 877-3440
Fax
(815) 636-5041
NPI assigned
Jul 20, 2009
Last updated
Jul 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Ms. Nancy Costello
Title
Cfo
Phone
(630) 837-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 47613710 IL Primary

Addresses

Primary practice location

3445 Elmwood Rd
Rockford, IL 61101-9529

Mailing address

1400 E Irving Park Rd
Streamwood, IL 60107-3201
Phone (630) 837-9000

Other identifiers 1

IdentifierTypeStateIssuer
4761373OtherILDCFS STATE OF IL CONTRACT NUMBER

Other names 1

  • Rock River Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BHC Streamwood Hospital Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1073743423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073201",
            "telephone_number": "630-837-9000",
            "fax_number": "630-540-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 ELMWOOD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611019529",
            "telephone_number": "815-877-3440",
            "fax_number": "815-636-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC STREAMWOOD HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-837-9000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IL",
            "license": "47613710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCFS STATE OF IL CONTRACT NUMBER",
            "identifier": "4761373",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock River Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.