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EVERGREEN HOME OF BERLIN, INC.
NPI 1063742526
Community Based Residential Treatment Facility, Mental Illness in Berlin, WI

Active since January 06, 2010
508 E MARQUETTE ST, BERLIN, WI 54923(920) 361-3231(920) 361-3231 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Home Of Berlin, Inc. NPPES

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

EVERGREEN HOME OF BERLIN, INC. (NPI 1063742526) is a healthcare organization registered as a community based residential treatment facility, mental illness in Berlin, Wisconsin and active in the NPI registry since January 2010. The organization lists Larenda L Rosin, President, as its authorized official.

NPPES Registry Identity

NPI1063742526
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEVERGREEN HOME OF BERLIN, INC.
Location Address508 E MARQUETTE STBerlin, WI 54923-9404
Mailing Address8429 Idyllview AveSparta, WI 54656-3617 · (608) 487-9067 · Fax (608) 487-9067
Phone(920) 361-3231
Fax(920) 361-3231
Organization SubpartNo
Authorized OfficialLarenda L RosinPresident · (608) 487-9067
Enumeration DateJanuary 6, 2010
✔ NPI 1063742526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
508 E MARQUETTE ST, Berlin, WI 54923
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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 Evergreen Home Of Berlin, Inc.'s NPI number?

The NPI number for Evergreen Home Of Berlin, Inc. is 1063742526. It was assigned to this organization in the NPPES registry on January 6, 2010.

Where is Evergreen Home Of Berlin, Inc. located?

Evergreen Home Of Berlin, Inc. is located at 508 E Marquette St, Berlin, WI 54923. The listed phone number is (920) 361-3231.

What is Evergreen Home Of Berlin, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Evergreen Home Of Berlin, Inc. was last updated on January 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.