Rosecrance Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ROSECRANCE INC

Doing business as

Rosecrance

Practice address

1631 S Galena Ave
Freeport, IL 61032-2517

Phone

(815) 391-1000

NPI assigned

Mar 9, 2022

Last updated

Jun 8, 2022By 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

Dave Gomel

Title

Ceo

Phone

(815) 391-1000

Specialties & licenses 1

Addresses

Other names 1

• Rosecrance 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 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
• Rosecrance Inc

  dba Rosecrance Ware Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1346656923
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Griffin Williamson

  • Substance Abuse Rehabilitation Facility
  • Rockford, IL
  • NPI 1356327340
  NPD tax ID
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Urbana, IL
  • NPI 1356799613
  NPD tax ID

Practitioners 2

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.

• Adla Martina Adubofour, NP

  • Family Nurse Practitioner
  • Mount Prospect, IL
  • NPI 1790476695
  NPD
• Christina A Schneider, MSW

  • Clinical Social Worker
  • Elk Grove Village, IL
  • NPI 1528660867
  NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1366199200",
    "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": "611073874",
            "telephone_number": "815-387-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 S GALENA AVE",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610322517",
            "telephone_number": "815-391-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "GOMEL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-391-1000"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosecrance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosecrance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Rockwell, PHD
• Kayla Nicole Rodebaugh, ATC
• Sam Kun Roh, MD
• Roland a. Tolliver (Freeport Podiatry Services, LLC)
• Rosecrance Inc (Rosecrance)
• Rosecrance Inc
• Sherry A Roskam, MS, LMFT
• Julianne Ross
• Timothy Rupnow, FNP
• Kwynsee Renea Russell, MS, CCC-SLP

• Substance Use Disorder Rehabilitation Clinic/Center in Freeport, IL
• Providers in Freeport, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.