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Contact Information

ROSICLARE HCO, LLC
ROUTE1, BOX 55A
ROSICLARE, IL62982
 Phone: 618-285-3655
 Fax: 618-285-6667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ROSICLARE HCO, LLC

NPI # 1609892793
LBN Legal business name ROSICLARE HCO, LLC
Authorized official MARK PETERSEN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2006
Last updated 09/09/2020 - About 6 years ago
Identifiers
IL License # 0047548
IL Medicaid 203224201017
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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