Rosecrance, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

04081 Issued in IL

Legal business name

ROSECRANCE, INC.

Doing business as

Rosecrance Berry Campus

Practice address

8616 Northern Ave
Rockford, IL 61107-5309

Phone

(815) 391-1000

NPI assigned

Aug 26, 2011

Last updated

Jun 27, 2017By 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. Phillip Eaton

Title

Ceo / President

Phone

(815) 391-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rosecrance Berry Campus 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.

  dba Rosecrance Harbor House

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1588945869
  NPD tax ID
• Rosecrance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1790066082
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Harrison - Men's

  • Substance Abuse Rehabilitation Facility
  • Rockford, IL
  • NPI 1548247349
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Harrison - Outpatient

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rockford, IL
  • NPI 1568459709
  NPD tax ID
• Rosecrance Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kankakee, IL
  • NPI 1609576214
  NPD tax ID
• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
  • NPI 1629426002
  NPD tax ID
• Rosecrance Inc

  • Clinical Psychologist
  • Urbana, IL
  • NPI 1629868641
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moline, IL
  • NPI 1639892698
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance RIC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rockford, IL
  • NPI 1699106468
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Benton Supervised LIving

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1710268008
  NPD tax ID
• Rosecrance Inc

  dba Rosecrance Woodstock House

  • Substance Abuse Rehabilitation Facility
  • Woodstock, IL
  • NPI 1720488604
  NPD tax ID
• Rosecrance Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Champaign, IL
  • NPI 1801244231
  NPD tax ID

Practitioners 3

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.

• Gregory Reid Brighton, MSW

  • Social Worker
  • Champaign, IL
  • NPI 1134829286
  NPD
• Sherry Taylor Aleksich, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
  • NPI 1114173523
  NPD
• Cynthia Clark Cushman, M.D.

  • Psychiatry Physician
  • Monroe, MI
  • NPI 1518934884
  NPD

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1669752275",
    "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": "8616 NORTHERN AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075309",
            "telephone_number": "815-391-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "815-391-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04081",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A-0601-0037-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosecrance Berry Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosecrance, Inc.
• Rosecrance, Inc. (Rosecrance Ware Center)
• Rosecrance, Inc. (Rosecrance Berry Campus)
• Rosecrance, Inc.
• Rosecrance, Inc. (Rosecrance Marlowe House)
• Rosecrance, Inc. (Rosecrance Griffin Williamson - Outpatient)
• Rosecrance, Inc. (Rosecrance Greendale House)
• Arnold M Rosen, M.D.
• Kandise Rosenbaum, D.C.
• Kelly D Rosenberger, CNM, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rockford, IL
• Providers in Rockford, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.