1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

ROSECRANCE INC
NPI 1770569972
Substance Abuse Rehabilitation Facility in Rockford, IL

Active since December 20, 2005
810 E STATE ST STE 200, RIVER DISTRICT CLINIC, ROCKFORD, IL 61104(815) 391-1000(815) 967-8724 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Rosecrance Inc NPPES

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

ROSECRANCE INC (NPI 1770569972) is a healthcare organization registered as a substance abuse rehabilitation facility in Rockford, Illinois and active in the NPI registry since December 2005. The organization lists Philip W Eaton, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1770569972
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameROSECRANCE INC
Location Address810 E STATE ST STE 200, RIVER DISTRICT CLINICRockford, IL 61104-1001
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 391-0100 · Fax (815) 391-5040
Phone(815) 391-1000
Fax(815) 967-8724
Organization SubpartNo
Authorized OfficialPhilip W EatonPresident Ceo · (815) 391-0100
Enumeration DateDecember 20, 2005
Last NPPES UpdateJuly 31, 2014
✔ NPI 1770569972 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.
810 E STATE ST STE 200, Rockford, IL 61104
Open in Google Maps ↗

Other Identifiers 1

Medicaid=========008IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosecrance Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

98

Medicare enrollment records show 98 clinicians reassign Medicare billing to Rosecrance Inc, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Clinical Social Worker24
Psychiatry22
Nurse Practitioner20
Mental Health Counselor19
Family Practice8
Internal Medicine2
Addiction Medicine1
Clinical Psychologist1
1 other specialty1

Nearest to this location (20)

See all 98
Carrie Sharkey, MD
Family Practice
NPI 1295725323
1221 E STATE ST
Rockford, IL 61104
(815) 972-1000
✔ PECOS✔ Accepts Medicare0.4 mi
Richard Jaconette, MD
Psychiatry
NPI 1578785432
526 W STATE STREET
Rockford, IL 61101
(815) 968-9300
✔ PECOS✔ Accepts Medicare0.8 mi
Shahina Jafry, M.D.
Psychiatry
NPI 1053383737
526 W. STATE STREET
Rockford, IL 61101
(815) 968-9300
✔ PECOS✔ Accepts Medicare0.8 mi
Reginald Givens, MD
Psychiatry
NPI 1568533701
1401 E STATE ST
Rockford, IL 61104
(815) 489-4123
✔ PECOS✔ Accepts Medicare1.5 mi
Evan Silvi
Psychiatry
NPI 1891988010
1401 E STATE ST
Rockford, IL 61104
(815) 489-4123
✔ PECOS1.5 mi
Viengkeo Chanthaloth- Phasouk, LCSW
Clinical Social Worker
NPI 1366920811
2704 N MAIN ST
Rockford, IL 61103
(815) 391-1000
✔ PECOS✔ Accepts Medicare2.4 mi
Eric Onsgard, MSW, LCSW
Clinical Social Worker
NPI 1043566094
2704 N MAIN ST
Rockford, IL 61103
(855) 751-4348
✔ PECOS✔ Accepts Medicare2.4 mi
Nichole Davidson
Clinical Social Worker
NPI 1881422814
2704 N MAIN ST
Rockford, IL 61103
(779) 970-4554
✔ PECOS2.4 mi
Rajbir Grewal, MD
Family Practice
NPI 1669904371
2704 N MAIN ST
Rockford, IL 61103
(815) 853-2050
✔ PECOS✔ Accepts Medicare2.4 mi
Michelle Nelson
Mental Health Counselor
NPI 1093529380
2704 N MAIN ST
Rockford, IL 61103
(815) 391-1000
✔ PECOS2.4 mi
Victoria Malinowski
Clinical Social Worker
NPI 1780277129
2704 N MAIN ST
Rockford, IL 61103
(815) 720-5012
✔ PECOS✔ Accepts Medicare2.4 mi
Candice Holder, PMHNP
Nurse Practitioner
NPI 1376976530
1639 N ALPINE RD STE 260
Rockford, IL 61107
(815) 395-1500
✔ PECOS✔ Accepts Medicare3.1 mi
Kristen Brokaw
Nurse Practitioner
NPI 1851806335
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS3.2 mi
Michael Oldenburg, LPC
Mental Health Counselor
NPI 1851057475
3815 HARRISON AVE
Rockford, IL 61108
(815) 540-6151
✔ PECOS3.2 mi
Amber Vowles, L.P.C.
Mental Health Counselor
NPI 1477825990
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS3.2 mi
Amy Young, FNP-BC
Nurse Practitioner
NPI 1689927766
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS3.2 mi
Darby Roth, LSW
Clinical Social Worker
NPI 1548051949
1021 N MULFORD RD
Rockford, IL 61107
(815) 387-5656
✔ PECOS4.5 mi
Lisa Espig
Mental Health Counselor
NPI 1306464185
1021 N MULFORD RD
Rockford, IL 61107
(815) 387-2547
✔ PECOS✔ Accepts Medicare4.5 mi
Lynn Wheeler, APN
Nurse Practitioner
NPI 1295039873
1021 N MULFORD RD
Rockford, IL 61107
(815) 391-1000
✔ PECOS✔ Accepts Medicare4.5 mi
Alvydas Baris, MD
Family Practice
NPI 1821029091
6824 NEWBURG RD
Rockford, IL 61108
(779) 696-7610
✔ PECOS✔ Accepts Medicare5.2 mi
See all 98 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1770569972. It was assigned to this organization in the NPPES registry on December 20, 2005.

Where is Rosecrance Inc located?

Rosecrance Inc is located at 810 E State St Ste 200 River District Clinic, Rockford, IL 61104. 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.

Is Rosecrance Inc enrolled in Medicare?

Yes. Rosecrance Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rosecrance Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 98 clinicians in 9 Medicare specialties reassign their Medicare billing to Rosecrance Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (24), Psychiatry (22) and Nurse Practitioner (20). Of these, 26 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rosecrance Inc was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.