BERLIN PINES, INC
NPI 1679913487
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Berlin, WI
NPI Status: Active since June 26, 2013
Contact Information
642 BROADWAY
BERLIN, WI
ZIP 54923
Phone: (920) 290-3090
Fax: (920) 290-3090
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 52D0932013
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 08-10-2027
About BERLIN PINES, INC
This page provides the complete NPI Profile along with additional information for Berlin Pines, Inc, a provider established in Berlin, Wisconsin operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1679913487 assigned on June 2013. The practitioner's primary taxonomy code is 320600000X with license number 0014624 (WI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Keri M Haywood (Owner)
- NPI
- 1679913487
- Provider Name
- BERLIN PINES, INC
- Entity Type
- Organization
- Location Address
- 642 BROADWAY BERLIN, WI 54923
- Location Phone
- (920) 290-3090
- Location Fax
- (920) 290-3090
- Mailing Address
- PO BOX 506 SPARTA, WI 54656
- Mailing Phone
- (920) 229-3664
- Mailing Fax
- (920) 290-3090
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2013
- Last Update Date
- 06-26-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- 0014624
- License State
- WI
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0932013
- Facility Type
- Ambulance
- Certificate Effective Date
- August 11, 2025
- Certificate Expiration Date
- August 10, 2027
- Laboratory Director
- MR. EVAN VANDENLANGENBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Berlin Pines, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679913487, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679913487, enumerated as an "organization" on June 26, 2013.
The provider is located at 642 BROADWAY BERLIN, WI 54923 and the phone number is (920) 290-3090.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
