Active NPI
Rosecrance Inc
Doing business as Rosecrance Ware Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
National Provider Identifier
1346656923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 40108
- Legal business name
- ROSECRANCE INC
- Doing business as
- Rosecrance Ware Center
- Practice address
- 2704 N Main St
Rockford, IL 61103 - Phone
- (815) 391-1000
- Fax
- (815) 316-4726
- NPI assigned
- Jul 3, 2014
- 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
- Philip Eaton
- 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 | 40108 | IL | Primary |
Addresses
Primary practice location
2704 N Main St
Rockford, IL 61103
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 391-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-0601-0044-A | Medicaid | IL | |
| 04081 | Medicaid | IL |
Other names 1
- Rosecrance Ware Center
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Urbana, IL
- NPI 1457865958
-
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
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Champaign, IL
- NPI 1336597764
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Clinical Social Worker
- Rockford, IL
- NPI 1366920811
-
- Psychiatry Physician
- Rockford, IL
- NPI 1578785432
-
- Clinical Social Worker
- Frankfort, IL
- NPI 1972140648
-
- Family Medicine Physician
- Rockford, IL
- NPI 1295725323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536105600000",
"number": "1346656923",
"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": "2704 N MAIN ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61103",
"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": "2018-09-05",
"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
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A-0601-0044-A",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04081",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosecrance Ware Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rosecrance Ware Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockford, IL
- Rosecrance Inc (Rosecrance Swedish American Collaboration)
- Rosecrance Inc (Rosecrance Harrison - Women's)
- Rosecrance Inc (Rosecrance Mulberry)
- Rosecrance Inc (Rosecrance Harrison - Detox A1)
- Rosecrance Inc (Rosecrance RIC)
- Rosecrance Inc (Rosecrance Griffin Williamson)
- Rosecrance Inc (Rosecrance - 3C)
- Rosecrance Inc
- Rosecrance Inc
- Rosecrance Inc
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.