Rosecrance Inc

Primary specialty

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

License

40108 Issued in IL

Legal business name

ROSECRANCE INC

Doing business as

Rosecrance Mulberry

Practice address

605 Mulberry St
Rockford, IL 61103-6746

Phone

(815) 391-1000

Fax

(815) 316-4726

NPI assigned

Jul 3, 2014

Last updated

Dec 4, 2015By 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

Philip Eaton

Title

Ceo / President

Phone

(815) 391-1000

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Rosecrance Mulberry 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

  • 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

  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
• 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
• Rosecrance Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Champaign, IL
  • NPI 1265880694
  NPD tax ID
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
  • NPI 1285081653
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Harrison - Detox A1

  • Substance Abuse Rehabilitation Facility
  • Rockford, IL
  • NPI 1295713824
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Oak Park Office

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oak Park, IL
  • NPI 1306182043
  NPD tax ID
• Rosecrance Inc

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
  • NPI 1336529858
  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.

• Reginald A Givens, MD

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1568533701
  NPD

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1285040865",
    "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": "605 MULBERRY ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611036746",
            "telephone_number": "815-391-1000",
            "fax_number": "815-316-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "815-391-1000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "40108",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04081",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A-0601-0043-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosecrance Mulberry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosecrance
• Rosecrance
• Rosecrance Inc
• Rosecrance Inc (Rosecrance Swedish American Collaboration)
• Rosecrance Inc (Rosecrance Harrison - Women's)
• Rosecrance Inc (Rosecrance Harrison - Detox A1)
• Rosecrance Inc (Rosecrance RIC)
• Rosecrance Inc (Rosecrance Ware Center)
• Rosecrance Inc (Rosecrance Griffin Williamson)
• Rosecrance Inc (Rosecrance - 3C)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rockford, IL
• Providers in Rockford, 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 Dec 4, 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.

Verify at the official NPI Registry.