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 Belvidere

Practice address

915 Alexandra Dr
Belvidere, IL 61008-6512

Phone

(815) 319-1000

NPI assigned

Aug 31, 2011

Last updated

Jun 23, 2017By 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. Phillip Eaton

Title

Ceo / President

Phone

(815) 391-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rosecrance Belvidere 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.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Urbana, IL
  • NPI 1457865958
  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

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1417625013
  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

  dba Rosecrance Mulberry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1285040865
  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
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
  • NPI 1336597764
  NPD tax ID

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.

• Traci Renee Gunnells-Kerzich, LCSW

  • Clinical Social Worker
  • Oak Brook, IL
  • NPI 1083750038
  NPD

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1346521630",
    "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": "915 ALEXANDRA DR",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610086512",
            "telephone_number": "815-319-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "PHILLIP",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04081",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A-0601-0036-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosecrance Belvidere",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Remedies Renewing Lives
• Remedies Renewing Lives
• Revive Therapy and Wellness LLC
• Lindsey Rockwell
• Isabella Renae Rogers
• Rosecrance, Inc. (Rosecrance Belvidere)
• Rosin Optical Co., Inc. (Family Optical Centre)
• Anne Cisar Rudd
• Istref Sam Sabani, RPH
• Saint Anthony Medical Center (OSFMG - Belvidere Office)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Belvidere, IL
• Providers in Belvidere, 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 Jun 23, 2017; 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.