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ARBOR PINES, INC.
NPI 1629306675
Community Based Residential Treatment Facility, Mental Illness in Wautoma, WI

Active since December 03, 2009CLIA 52D2172562 · Waiver
540 W PRAIRIE ST, WAUTOMA, WI 54982(920) 787-4466(920) 787-4466 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arbor Pines, Inc. NPPES

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

ARBOR PINES, INC. (NPI 1629306675) is a healthcare organization registered as a community based residential treatment facility, mental illness in Wautoma, Wisconsin and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Larenda Rosin, President, as its authorized official.

NPPES Registry Identity

NPI1629306675
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameARBOR PINES, INC.
Location Address540 W PRAIRIE STWautoma, WI 54982-9002
Mailing Address8429 Idyllview AveSparta, WI 54656-3617 · (608) 487-9067 · Fax (608) 487-9067
Phone(920) 787-4466
Fax(920) 787-4466
Organization SubpartNo
Authorized OfficialLarenda RosinPresident · (608) 487-9067
Enumeration DateDecember 3, 2009
✔ NPI 1629306675 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.
540 W PRAIRIE ST, Wautoma, WI 54982
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2172562

Arbor Pines Inc · Wautoma, WI
Active · expires Sep 24, 2027
CLIA Number52D2172562
Laboratory TypeCbrf
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorMs. Cindy Weisensel
Laboratory Phone(920) 787-4466
Laboratory LocationArbor Pines Inc540 West Prairie Street, Wautoma, WI 54982
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Arbor Pines, Inc.'s NPI number?

The NPI number for Arbor Pines, Inc. is 1629306675. It was assigned to this organization in the NPPES registry on December 3, 2009.

Where is Arbor Pines, Inc. located?

Arbor Pines, Inc. is located at 540 W Prairie St, Wautoma, WI 54982. The listed phone number is (920) 787-4466.

What is Arbor Pines, Inc.'s specialty?

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

Does Arbor Pines, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2172562) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arbor Pines, Inc. was last updated on December 3, 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.