Rosecrance Crystal Lake
LBN: Rosecrance Inc
Rosecrance Crystal Lake is an health care organization with primary practice located at 422 Tracy Court , Crystal Lake IL 60014. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Rosecrance Inc can be contacted via phone (815) 391-1000, or through Eaton, Phil via phone (815) 391-1000.
Contact Information
Primary practice address
422 Tracy Court
Crystal Lake IL 60014
Phone: (815) 391-1000
Fax: (815) 316-4726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1124449731 |
|---|---|
| LBN Legal business name | Rosecrance Inc |
| DBA Doing business as | Rosecrance Crystal Lake |
| Authorized official | Eaton, Phil MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2013 |
| Last updated | Sep 5th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124449731 | NPPES |
| Illinois | MEDICAID | A-0601-0036-A | |
| Illinois | MEDICAID | 04081 |
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