Rosecrance Harbor House

LBN: Roscrance Inc.
Rosecrance Harbor House is an health care organization with primary practice located at 707 N Court St , Rockford IL 61103-6954. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Roscrance Inc. can be contacted via phone (815) 391-1000, or through Eaton, Phillip via phone (815) 391-1000.

Contact Information

Primary practice address
707 N Court St Rockford IL 61103-6954
Phone: (815) 391-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eaton, Phillip
Phone: (815) 391-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 04081 Illinois
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1588945869
LBN Legal business name Roscrance Inc.
DBA Doing business as Rosecrance Harbor House
Authorized official Eaton, Phillip
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2011
Last updated Dec 4th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588945869 NPPES
Illinois MEDICAID 04081

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