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ROSECRANCE
NPI 1790066082
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rockford, IL

Active since August 31, 2011
1422 20TH ST, ROCKFORD, IL 61104(815) 391-1000 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rosecrance NPPES

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

ROSECRANCE (NPI 1790066082) is a healthcare organization registered as a mental health (including community mental health center) in Rockford, Illinois and active in the NPI registry since August 2011. The organization lists Phillip Eaton, Ceo / President, as its authorized official.

NPPES Registry Identity

NPI1790066082
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameROSECRANCE
Location Address1422 20TH STRockford, IL 61104-3519
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 391-1000 · Fax (815) 316-4726
Phone(815) 391-1000
Organization SubpartNo
Authorized OfficialPhillip EatonCeo / President · (815) 391-1000
Enumeration DateAugust 31, 2011
Last NPPES UpdateApril 27, 2018
✔ NPI 1790066082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 04081
1422 20TH ST, Rockford, IL 61104
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Other Identifiers 1

Medicaid04081IL

Other Providers at the Same Location NPPES

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

JANET WATTLES CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1422 20TH ST
ROCKFORD, IL 61104
Winnebago County (815) 968-9300

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's NPI number?

The NPI number for Rosecrance is 1790066082. It was assigned to this organization in the NPPES registry on August 31, 2011.

Where is Rosecrance located?

Rosecrance is located at 1422 20th St, Rockford, IL 61104. The listed phone number is (815) 391-1000.

What is Rosecrance's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Rosecrance was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.