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ROSECRANCE INC NPI 1538631122


NPI Information

NPI: 1538631122
Provider Name: ROSECRANCE INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2302 MORELAND BLVD
CHAMPAIGN, IL
ZIP 61822
Phone: (815) 387-5600
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ROSECRANCE INC is a substance abuse rehabilitation facility in Champaign, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ROSECRANCE INC NPI is 1538631122. The provider is registered as an organization entity type.

The provider's business location address is:

2302 MORELAND BLVD
CHAMPAIGN, IL
ZIP 61822-398
Phone: (815) 387-5600

The provider's authorized official is Phil Eaton .
The authorized official title is Ceo and has the following contact phone number (815) 387-5610.

The enumeration date for this NPI number is 12/20/2018 and was last updated on 12/20/2018.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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
104081MEDICAIDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.