Active NPI
Rosecrance Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Champaign, IL
National Provider Identifier
1336597764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ROSECRANCE INC
- Practice address
- 401 W Springfield Ave
Champaign, IL 61820 - Phone
- (815) 391-1000
- Fax
- (815) 316-4726
- NPI assigned
- May 26, 2016
- Last updated
- Sep 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
401 W Springfield Ave
Champaign, IL 61820
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 391-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04081 | Medicaid | 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 Auburn Supervised Living
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1275814568
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1417625013
-
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
-
- 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
-
dba Rosecrance Oak Park Office
- Substance Use Disorder Rehabilitation Clinic/Center
- Oak Park, IL
- NPI 1306182043
-
- Substance Abuse Rehabilitation Facility
- Chicago, IL
- NPI 1336529858
-
dba Rosecrance Ware Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1346656923
-
dba Rosecrance Griffin Williamson
- Substance Abuse Rehabilitation Facility
- Rockford, IL
- NPI 1356327340
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Social Worker
- Champaign, IL
- NPI 1669912994
-
- Social Worker
- Champaign, IL
- NPI 1649979824
-
- Social Worker
- Champaign, IL
- NPI 1851946081
-
- Social Worker
- Champaign, IL
- NPI 1295509651
-
- Social Worker
- Champaign, IL
- NPI 1679203889
-
- Social Worker
- Champaign, IL
- NPI 1972015865
-
- Social Worker
- Champaign, IL
- NPI 1477326700
-
- Social Worker
- Champaign, IL
- NPI 1710584669
-
- Social Worker
- Champaign, IL
- NPI 1629529649
-
- Clinical Social Worker
- Champaign, IL
- NPI 1316627144
-
- Social Worker
- Champaign, IL
- NPI 1881207397
-
- Social Worker
- Champaign, IL
- NPI 1568023307
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": "1536105600000",
"number": "1336597764",
"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": "401 W SPRINGFIELD AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61820",
"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": "2018-09-05",
"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": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04081",
"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 Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.