Rosecrance Berry Campus

LBN: Rosecrance, Inc.
Rosecrance Berry Campus is an health care organization with primary practice located at 8616 Northern Ave , Rockford IL 61107-5309. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Rosecrance, Inc. can be contacted via phone (815) 391-1000, or through Eaton, Philip via phone (815) 391-1000.

Contact Information

Primary practice address
8616 Northern Ave Rockford IL 61107-5309
Phone: (815) 391-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eaton, Philip
Phone: (815) 391-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X A-0601-0037-A Illinois

Profile Details

NPI number 1538527213
LBN Legal business name Rosecrance, Inc.
DBA Doing business as Rosecrance Berry Campus
Authorized official Eaton, Philip
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2016
Last updated Feb 9th, 2016 - about 10 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 1538527213 NPPES
Illinois MEDICAID A-0601-0037-A

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