Cevene Care Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009573 Issued in IL

Legal business name

CEVENE CARE CLINIC, INC

Practice address

6451 E Riverside Blvd
#103
Rockford, IL 61114-4421

Phone

(815) 639-9900

Fax

(815) 639-9860

NPI assigned

Mar 26, 2007

Last updated

Apr 18, 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

Dr. Angela Ruf

Title

Manager

Phone

(815) 639-9900

Specialties & licenses 8

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

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.

• Jason Croxford, DC

  • Chiropractor
  • Rockford, IL
  • NPI 1922093467
  Medicare reassignment Care Compare group NPD
• Denise E Crute, M.D.

  • Neurological Surgery Physician
  • Rockford, IL
  • NPI 1346272747
  Medicare reassignment Care Compare group
• Dawn M Mansfield

  • Physical Therapist
  • Rockford, IL
  • NPI 1528480241
  Medicare reassignment Care Compare group
• Joe O'Saben, DO

  • Pain Medicine Physician
  • Rockford, IL
  • NPI 1821026147
  Medicare reassignment Care Compare group
• Todd Richard Cevene, DC

  • Chiropractor
  • Rockford, IL
  • NPI 1477555928
  Medicare reassignment NPD
• Julie L Bailor, PT

  • Physical Therapist
  • Rockford, IL
  • NPI 1962709766
  NPD (past)
• Kevin Erbe, PTA

  • Physical Therapy Assistant
  • Rockford, IL
  • NPI 1871079053
  NPD (past)
• Jason B Keith, MSW, LCSW

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1376826792
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1568580843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "#103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "#103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEVENE CARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "RUF",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-639-9900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149009052",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009573",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "336045953",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036118972",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "31602516",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005320",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "0070009799",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038009573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "210693",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Sight & Hearing
• Center for the Healing Mind PLLC
• Cep America - Illinois, LLP
• Certified Hand Center of Rockford
• Altagracia J Cervantes, APRN, CNP
• Todd Richard Cevene, DC
• Megan Chadwick, APRN
• Sanders Honggook Chae, MD
• Lisa Chaffee, PHARMD
• Todd H. Chaffin, MD

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.