ROSEWOOD CARE CENTER OF ROCKFORD (BRAVO CARE OF ROCKFORD INC) NPI 1003003765
Skilled Nursing Facility in Rockford, IL
About ROSEWOOD CARE CENTER OF ROCKFORD (BRAVO CARE OF ROCKFORD INC)
Rosewood Care Center Of Rockford (bravo Care Of Rockford Inc) is a provider established in Rockford, Illinois specializing in skilled nursing facility. The NPI number of Rosewood Care Center Of Rockford (bravo Care Of Rockford Inc) is 1003003765 and was assigned on September 2007. The practitioner's primary taxonomy code is 314000000X with license number 1854120 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Rosewood Care Center Of Rockford. The authorized official of this NPI record is Aleksandra Savic (Ar Director)
| NPI | 1003003765 |
| Provider Name | ROSEWOOD CARE CENTER OF ROCKFORD (BRAVO CARE OF ROCKFORD INC) |
| Provider Location Address | 1660 S MULFORD RD ROCKFORD, IL 61108 |
| Provider Mailing Address | 11701 BORMAN DR STE 315 SAINT LOUIS, MO 63146 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | ROSEWOOD CARE CENTER OF ROCKFORD |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 09-26-2007 |
| Last Update Date | 12-01-2016 |
Primary Taxonomy
| Taxonomy Code | 314000000X |
| Classification | Skilled Nursing Facility |
| Type | Nursing & Custodial Care Facilities |
| License No. | 1854120 |
| License State | IL |
| Taxonomy Description | (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. |
Business Address
ROSEWOOD CARE CENTER OF ROCKFORD
1660 S MULFORD RD
ROCKFORD, IL
ZIP 61108
Phone: (815) 397-8700
Mailing Address
ROSEWOOD CARE CENTER OF ROCKFORD
11701 BORMAN DR STE 315
SAINT LOUIS, MO
ZIP 63146
Phone:
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition | IL | No | |
Taxonomy Description: Not Available | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 6102310001 | MEDICARE NSC (07) | IL |
| =========001 | MEDICAID (05) | IL |
| 145891 | MEDICARE OSCAR/CERTIFICATION (06) | IL |
Other Providers at the same location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306841135 | ROSEWOOD CARE CENTER, INC OF ROCKFORD Organization | Skilled Nursing Facility | 1660 S MULFORD RD ROCKFORD, IL 61108 (815) 397-8700 |
| 1467099895 | BRADLEY PAUL CARY MPT Individual | Physical Therapist | 1660 S MULFORD RD ROCKFORD, IL 61108 (815) 397-8700 |
| 1700329240 | ROCKFORD NH LLC Organization | Skilled Nursing Facility | 1660 S MULFORD RD ROCKFORD, IL 61108 (815) 397-8700 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.