EVERGREEN PINES INC – NPI #1851721344
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

EVERGREEN PINES INC is a residential treatment facility located in BERLIN, WI. NPPES has assigned the NPI number 1851721344 to EVERGREEN PINES INC on November 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN PINES INC below.

NPI Profile for
EVERGREEN PINES INC

NPI Number
1851721344
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN PINES INC
Primary location
343 E CUMBERLAND ST
BERLIN, WI 54923-1206
Phone: (920) 290-3305 Fax:
Mailing address
PO BOX 506
SPARTA, WI 54656-0506
Phone: (920) 229-3664 Fax:
Organization Subpart
No
Authorized Official
KERI HAYWOOD
PRESIDENT
Phone: (920) 229-3664
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
WI 14846

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.