ROSECRANCE INC. NPI 1558599803

NPI Information

  • NPI: 1558599803
  • Provider Name: ROSECRANCE, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Address: 215 N. COURT STREET
    METHODIST CHURCH
    ROCKFORD, IL
    ZIP 61103
  • Phone: (815) 391-1000

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NPI Details

ROSECRANCE, INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Rockford, IL. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. ROSECRANCE, INC. NPI is 1558599803. The provider is registered as an organization entity type.

The provider's business location address is:

215 N. COURT STREET
METHODIST CHURCH
ROCKFORD, IL
ZIP 61103-802
Phone: (815) 391-1000
Fax: (815) 391-5040

The provider's authorized official is Philip W. Eaton .
The authorized official title is President/ceo and has the following contact phone number (815) 391-0100.

The enumeration date for this NPI number is 6/25/2009 and was last updated on 6/25/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenA-0601-0026-AILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A-0601-0026-AMEDICAIDILLINOIS

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: 11/21/2025

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