Active NPI
Rosecrance Inc
Doing business as Rosecrance Harrison - Women's
- Substance Abuse Rehabilitation Facility
- Rockford, IL
National Provider Identifier
1245216050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ROSECRANCE INC
- Doing business as
- Rosecrance Harrison - Women's
- Practice address
- 3815 Harrison Ave
Women's
Rockford, IL 61108-7631 - Phone
- (815) 391-0100
- Fax
- (815) 391-5040
- NPI assigned
- Dec 22, 2005
- Last updated
- Nov 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Philip W Eaton, MASTER OF SCIENCE
- Title
- President Ceo
- Phone
- (815) 391-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3815 Harrison Ave
Women's
Rockford, IL 61108-7631
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 391-0100
Other names 1
- Rosecrance Harrison - Women's
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130502000371 | IL | Part B Supplier - Clinic/Group Practice | 3779656582 |
Receives reassigned benefits from 92 practitioners This NPI is an additional NPI on the enrollment Practice locations: La Grange, IL; Rockford, IL; McHenry, IL; Moline, IL; Northbrook, IL; Urbana, IL; Warrenville, IL; Chicago, IL… |
National Provider Directory
National Provider Directory- Tax ID family
- Rosecrance Inc
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.
-
dba Rosecrance Griffin Willaimson
- Substance Abuse Rehabilitation Facility
- Rockford, IL
- NPI 1174051031
-
- Primary Care Clinic/Center
- Rockford, IL
- NPI 1164174140
-
dba Rosecrance Auburn Supervised Living
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1275814568
-
dba Rosecrance Crystal Lake
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1124449731
-
dba Rosecrance Dakota Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1134575558
-
dba Rosecrance McHenry County
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McHenry, IL
- NPI 1144585803
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kankakee, IL
- NPI 1194425702
-
dba Rosecrance Swedish American Collaboration
- Psychiatric Hospital Unit
- Rockford, IL
- NPI 1205279692
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Champaign, IL
- NPI 1265880694
-
dba Rosecrance Mulberry
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1285040865
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Champaign, IL
- NPI 1285081653
-
dba Rosecrance Harrison - Detox A1
- Substance Abuse Rehabilitation Facility
- Rockford, IL
- NPI 1295713824
Practitioners & affiliated clinicians
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.
-
- Psychiatry Physician
- Rockford, IL
- NPI 1245217959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448409600000",
"number": "1245216050",
"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": "815-391-0100",
"fax_number": "815-391-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 HARRISON AVE",
"address_2": "WOMEN'S",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611087631",
"telephone_number": "815-391-0100",
"fax_number": "815-391-5040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSECRANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-22",
"last_updated": "2015-11-25",
"status": "A",
"authorized_official_last_name": "EATON",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "815-391-0100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MASTER OF SCIENCE"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosecrance Harrison - Women's",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockford, IL
- Rosecrance
- Rosecrance
- Rosecrance
- Rosecrance Inc
- Rosecrance Inc (Rosecrance Swedish American Collaboration)
- Rosecrance Inc (Rosecrance Mulberry)
- Rosecrance Inc (Rosecrance Harrison - Detox A1)
- Rosecrance Inc (Rosecrance RIC)
- Rosecrance Inc (Rosecrance Ware Center)
- Rosecrance Inc (Rosecrance Griffin Williamson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.