Rosecrance Benton Supervised Living
LBN: Rosecrance Inc
Rosecrance Benton Supervised Living is an health care organization with primary practice located at 1509 Benton St , Rockford IL 61107-4322. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. 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, Phillip via phone (815) 391-1000.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 04081 | Illinois |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
| NPI number | 1710268008 |
|---|---|
| LBN Legal business name | Rosecrance Inc |
| DBA Doing business as | Rosecrance Benton Supervised Living |
| Authorized official | Eaton, Phillip |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2011 |
| Last updated | Dec 8th, 2015 - about 9 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 | 1710268008 | NPPES |
| Illinois | MEDICAID | 04081 |
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