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ROSECRANCE HARRISON - DETOX A1
NPI 1295713824
Substance Abuse Rehabilitation Facility in Rockford, IL

Active since January 04, 2006
3815 HARRISON AVE, ROSECRANCE ON HARRISON - 2ND FLOOR NORTHWEST, ROCKFORD, IL 61108(815) 391-1000(815) 484-8640 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rosecrance Harrison - Detox A1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSECRANCE HARRISON - DETOX A1 (NPI 1295713824) is a healthcare organization registered as a substance abuse rehabilitation facility in Rockford, Illinois and active in the NPI registry since January 2006. The organization lists Phillip W Eaton, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1295713824
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameROSECRANCE INC
Location Address3815 HARRISON AVE, ROSECRANCE ON HARRISON - 2ND FLOOR NORTHWESTRockford, IL 61108-7631
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 391-0100 · Fax (815) 391-5040
Phone(815) 391-1000
Fax(815) 484-8640
Organization SubpartNo
Authorized OfficialPhillip W EatonPresident/ceo · (815) 391-0100
Enumeration DateJanuary 4, 2006
Last NPPES UpdateNovember 25, 2015
✔ NPI 1295713824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
3815 HARRISON AVE, Rockford, IL 61108
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Other Names 1

Doing Business AsRosecrance Harrison - Detox A1

Other Identifiers 1

Medicaid=========012IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY LYNN BUNGER
Registered Nurse (Addiction (Substance Use Disorder))
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
MEGAN WHITE RN
Licensed Practical Nurse
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
ROSECRANCE, INC.
Substance Abuse Rehabilitation Facility
3815 HARRISON AVE, CRU
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
LAURA OLSON RN
Registered Nurse
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
MARK HONZEL
Counselor
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
ANDREW WALTERS
Registered Nurse
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
ROSECRANCE, INC.
Substance Abuse Rehabilitation Facility
3815 HARRISON AVE, DETOX A2 - 2ND FLOOR NORTHWEST A2
ROCKFORD, IL 61108
Winnebago County (815) 391-1000
CARLENE CARDOSI
Social Worker (Clinical)
3815 HARRISON AVE
ROCKFORD, IL 61108
Winnebago County (805) 391-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosecrance Inc's NPI number?

The NPI number for Rosecrance Inc is 1295713824. It was assigned to this organization in the NPPES registry on January 4, 2006. The provider is doing business as Rosecrance Harrison - Detox A1.

Where is Rosecrance Inc located?

Rosecrance Inc is located at 3815 Harrison Ave Rosecrance On Harrison - 2nd Floor Northwest, Rockford, IL 61108. The listed phone number is (815) 391-1000.

What is Rosecrance Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Rosecrance Inc was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.