Active NPI
Rosecrance Inc
- Substance Use Disorder Rehabilitation Clinic/Center
- Champaign, IL
National Provider Identifier
1265880694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- ROSECRANCE INC
- Practice address
- 70 E Washington St
Champaign, IL 61820-3652 - Phone
- (815) 391-1000
- Fax
- (815) 316-4726
- NPI assigned
- May 26, 2016
- 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
- Phil Eaton, MBA
- Title
- Ceo / President
- Phone
- (815) 391-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
70 E Washington St
Champaign, IL 61820-3652
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 391-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801-0002 | Medicaid | IL |
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
- Roscrance 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
-
dba Rosecrance Harrison - Women's
- Substance Abuse Rehabilitation Facility
- Rockford, IL
- NPI 1245216050
-
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 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.
-
- Counselor
- Rockford, IL
- NPI 1013493410
-
- Addiction Medicine (Internal Medicine) Physician
- Oconomowoc, WI
- NPI 1346212545
-
- Child & Adolescent Psychiatry Physician
- Cleveland, OH
- NPI 1619170990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481587200000",
"number": "1265880694",
"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": "70 E WASHINGTON ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203652",
"telephone_number": "815-391-1000",
"fax_number": "815-316-4726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSECRANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-26",
"last_updated": "2016-12-13",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801-0002",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.