Rosecrance Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROSECRANCE INC

Practice address

1112 Lincolnshire Dr
Champaign, IL 61821

Phone

(815) 391-1000

Fax

(815) 316-4726

NPI assigned

May 16, 2016

Last updated

Sep 5, 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

Other identifiers 1

Tax ID family

Rosecrance Inc97 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

  • Substance Abuse Rehabilitation Facility
  • La Grange, IL
  • NPI 1053762344
  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 3

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.

• Karli Allen

  • Social Worker
  • Champaign, IL
  • NPI 1770252587
  NPD (past)
• Jennifer Clifton

  • Social Worker
  • Champaign, IL
  • NPI 1770109118
  NPD (past)
• Bridgette Ward

  • Social Worker
  • Champaign, IL
  • NPI 1538647565
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1083061469",
    "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": "1112 LINCOLNSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61821",
            "telephone_number": "815-391-1000",
            "fax_number": "815-316-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2018-09-05",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Rosas
• Camille Marguerite Rose, OTRL
• Gregg Lee Rose, DDS
• Kristin A Rose, DT
• Rosecrance Inc
• Rosecrance Inc
• Rosecrance Inc
• Rosecrance Inc
• Rosecrance Inc
• Rosecrance Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.