Active NPI
Rosecrance, Inc.
Doing business as Rosecrance Belvidere
- Substance Use Disorder Rehabilitation Clinic/Center
- Belvidere, IL
National Provider Identifier
1659739563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- A-0601-0035-A
- Legal business name
- ROSECRANCE, INC.
- Doing business as
- Rosecrance Belvidere
- Practice address
- 915 Alexandra Dr
Belvidere, IL 61008-6512 - Phone
- (815) 391-1000
- Fax
- (815) 316-4726
- NPI assigned
- Feb 5, 2016
- Last updated
- Feb 5, 2016
- 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
- President/Ceo
- Phone
- (815) 387-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | A-0601-0035-A | IL | Primary |
Addresses
Primary practice location
915 Alexandra Dr
Belvidere, IL 61008-6512
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 391-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-0601-0035-A | Medicaid | IL |
Other names 1
- Rosecrance Belvidere
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.
-
dba Rosecrance Harbor House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1588945869
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1790066082
-
- Clinical Psychologist
- Chicago, IL
- NPI 1538959549
-
dba Rosecrance Harrison - Men's
- Substance Abuse Rehabilitation Facility
- Rockford, IL
- NPI 1548247349
-
dba Rosecrance Harrison - Outpatient
- Substance Use Disorder Rehabilitation Clinic/Center
- Rockford, IL
- NPI 1568459709
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Kankakee, IL
- NPI 1609576214
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Champaign, IL
- NPI 1629426002
-
- Clinical Psychologist
- Urbana, IL
- NPI 1629868641
-
dba Rosecrance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
-
dba Rosecrance RIC
- Substance Use Disorder Rehabilitation Clinic/Center
- Rockford, IL
- NPI 1699106468
-
dba Rosecrance Benton Supervised LIving
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1710268008
-
dba Rosecrance Woodstock House
- Substance Abuse Rehabilitation Facility
- Woodstock, IL
- NPI 1720488604
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Rockford, IL
- NPI 1821029091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454630400000",
"number": "1659739563",
"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"
},
{
"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": "815-391-1000",
"fax_number": "815-316-4726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSECRANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A",
"authorized_official_last_name": "EATON",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "815-387-5600"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "IL",
"license": "A-0601-0035-A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A-0601-0035-A",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosecrance Belvidere",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.