EVERGREEN MANOR II
NPI 1457689192
Community Based Residential Treatment Facility, Mental Illness in Sparta, WI

Q: What is Evergreen Manor II's NPI number?

The NPI number for Evergreen Manor II is 1457689192. It was assigned to this organization in the NPPES registry on November 18, 2009.

Q: What is Evergreen Manor II's specialty?

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

Active since November 18, 2009

8429 IDYLLVIEW AVE, SPARTA, WI 54656(608) 487-9067(608) 487-9067 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evergreen Manor Ii NPPES

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

EVERGREEN MANOR II (NPI 1457689192) is a healthcare organization registered as a community based residential treatment facility, mental illness in Sparta, Wisconsin and active in the NPI registry since November 2009. The organization lists Larenda L Rosin, President, as its authorized official.

NPPES Registry Identity

NPI1457689192

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameEVERGREEN MANOR II

Location Address8429 IDYLLVIEW AVESparta, WI 54656-3617

Mailing Address8429 Idyllview AveSparta, WI 54656-3617 · (608) 487-9067 · Fax (608) 487-9067

Phone(608) 487-9067

Fax(608) 487-9067

Organization SubpartNo

Authorized OfficialLarenda L RosinPresident · (608) 487-9067

Enumeration DateNovember 18, 2009

✔ NPI 1457689192 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

License✔ Licensed in WI · 0011268

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

8429 IDYLLVIEW AVE, Sparta, WI 54656

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVERGREEN MANOR III, INC

Community Based Residential Treatment Facility, Mental Illness

8429 IDYLLVIEW AVE
SPARTA, WI 54656

Monroe County (608) 487-9067

EVERGREEN MANOR,INC.

Community Based Residential Treatment Facility, Mental Illness

8429 IDYLLVIEW AVE
SPARTA, WI 54656

Monroe County (608) 487-9067

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 Manor II's NPI number?

The NPI number for Evergreen Manor II is 1457689192. It was assigned to this organization in the NPPES registry on November 18, 2009.

Where is Evergreen Manor II located?

Evergreen Manor II is located at 8429 Idyllview Ave, Sparta, WI 54656. The listed phone number is (608) 487-9067.

What is Evergreen Manor II'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 Manor II was last updated on November 18, 2009. 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.