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BRAVO CARE OF ROCKFORD INC NPI 1003003765


NPI Profile

NPI: 1003003765
Provider Name: BRAVO CARE OF ROCKFORD INC

Doing Business As: ROSEWOOD CARE CENTER OF ROCKFORD

Classification:Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
1660 S MULFORD RD
ROCKFORD, IL
ZIP 61108
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Phone: (815) 397-8700

BRAVO CARE OF ROCKFORD INC is a skilled nursing facility in Rockford, IL. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. BRAVO CARE OF ROCKFORD INC NPI is 1003003765. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosewood Care Center Of Rockford.

The provider's business location address is:

1660 S MULFORD RD
ROCKFORD, IL
ZIP 61108-760
Phone: (815) 397-8700

The provider's authorized official is Aleksandra Savic .
The authorized official title is Ar Director and has the following contact phone number (314) 994-9070.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 12/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility1854120ILLINOISYes
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16102310001MEDICARE NSCILLINOIS
2=========001MEDICAIDILLINOIS
3145891MEDICARE OSCAR/CERTIFICATIONILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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