Rosewood Care Center, Inc of Alton

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0035261 Issued in IL

Legal business name

ROSEWOOD CARE CENTER, INC OF ALTON

Practice address

3490 Humbert Rd
Alton, IL 62002-7101

Phone

(618) 465-2626

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Larry Vander Maten

Title

President

Phone

(314) 994-9070

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1104821024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR",
            "address_2": "STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464194",
            "telephone_number": "314-994-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 HUMBERT RD",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620027101",
            "telephone_number": "618-465-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD CARE CENTER, INC OF ALTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VANDER MATEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-994-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0035261",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "1303680001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Rogalski, MA, LPC
• Belinda Rogers, MSED
• Gina Rogers
• Joseph J. Rohrbacker, M.ED, LCPC, LPC
• Craig Rosenberg, M.D., FACP, FACEP
• Debra Lynn Ross, L.P.N.
• Michelle Rounds
• Cynthia Rublaitus, LCSW
• Aline Gaston Russell, D.MIN., LCPC, LMFT
• Victoria Elizabeth Russell, M.S.

• Skilled Nursing Facility in Alton, IL
• Providers in Alton, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.