Rosecrance Inc

Primary specialty

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

License

04081 Issued in IL

Legal business name

ROSECRANCE INC

Doing business as

Rosecrance McHenry County

Practice address

4501 Prime Pkwy
McHenry, IL 60050

Phone

(815) 391-1000

Fax

(815) 316-4726

NPI assigned

Jul 9, 2012

Last updated

Jul 2, 2019By 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

Mr. Phil Eaton

Title

Ceo / President

Phone

(815) 391-1000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rosecrance McHenry County Doing business as

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 24

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

  dba Rosecrance Auburn Supervised Living

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1275814568
  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

  • 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

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

  dba Rosecrance Swedish American Collaboration

  • Psychiatric Hospital Unit
  • Rockford, IL
  • NPI 1205279692
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Harrison - Women's

  • Substance Abuse Rehabilitation Facility
  • Rockford, IL
  • NPI 1245216050
  NPD tax ID

Locations

Practitioners 1

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.

• John D Benton, LCSW

  • Clinical Social Worker
  • Machesney Park, IL
  • NPI 1639358039
  NPD

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1144585803",
    "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": "4501 PRIME PKWY",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-391-1000",
            "fax_number": "815-316-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-07-02",
        "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_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04081",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosecrance McHenry County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosecrance McHenry County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carl Richard Romero Jr.
• Michelle Romero, QIDP
• Linda M Rood, CNP
• Deborah Ann Ropinski, LCSW
• Michael Thomas Rose, DPT, PT
• Rosecrance, Inc. (Rosecrance McHenry County)
• Juliayn Rosendahl, MA, LPC
• Rosin Optical Co., Inc. (Rosin Eyecare)
• Kayla Ross
• Milton James Ross

• Mental Health Clinic/Center (Including Community Mental Health Center) in McHenry, IL
• Providers in McHenry, 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 Jul 2, 2019; 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.