Rosecrance Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

A-0601-0028-A Issued in IL

Legal business name

ROSECRANCE INC

Doing business as

Rosecrance - 3C

Practice address

3815 Harrison Ave
Rockford, IL 61108-7631

Phone

(815) 391-1000

Fax

(815) 316-4726

NPI assigned

Jan 28, 2011

Last updated

Jan 8, 2016By 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. Phil W Eaton, MS

Title

Ceo

Phone

(815) 391-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rosecrance - 3C 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

  • 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
• Rosecrance Inc

  dba Rosecrance

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Freeport, IL
  • NPI 1366199200
  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.

• Caroline Golko, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1205262169
  NPD
• Rachel N. Lee, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Champaign, IL
  • NPI 1699959635
  NPD

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1396041083",
    "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": "3815 HARRISON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611087631",
            "telephone_number": "815-391-1000",
            "fax_number": "815-316-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-391-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0601-0028-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A-0601-0028-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosecrance - 3C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosecrance Inc (Rosecrance Mulberry)
• Rosecrance Inc (Rosecrance Harrison - Detox A1)
• Rosecrance Inc (Rosecrance RIC)
• Rosecrance Inc (Rosecrance Ware Center)
• Rosecrance Inc (Rosecrance Griffin Williamson)
• Rosecrance Inc
• Rosecrance Inc
• Rosecrance Inc
• Rosecrance Inc (Rosecrance Harrison - Men's)
• Rosecrance Inc (Rosecrance Harrison - Outpatient)

• Substance Abuse Rehabilitation Facility in Rockford, IL
• Providers in Rockford, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.