BERLIN PINES, INC
NPI 1679913487
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Berlin, WI

Q: What is Berlin Pines, Inc's NPI number?

The NPI number for Berlin Pines, Inc is 1679913487. It was assigned to this organization in the NPPES registry on June 26, 2013.

Q: What is Berlin Pines, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Berlin Pines, Inc was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 26, 2013

642 BROADWAY, BERLIN, WI 54923(920) 290-3090(920) 290-3090 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Berlin Pines, Inc NPPES

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

BERLIN PINES, INC (NPI 1679913487) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Berlin, Wisconsin and active in the NPI registry since June 2013. The organization lists Keri M Haywood, Owner, as its authorized official.

NPPES Registry Identity

NPI1679913487

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameBERLIN PINES, INC

Location Address642 BROADWAYBerlin, WI 54923-1302

Mailing AddressPo Box 506Sparta, WI 54656-0506 · (920) 229-3664 · Fax (608) 487-9067

Phone(920) 290-3090

Fax(920) 290-3090

Organization SubpartNo

Authorized OfficialKeri M HaywoodOwner · (920) 229-3664

Enumeration DateJune 26, 2013

✔ NPI 1679913487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in WI · 0014624

Definition

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.

642 BROADWAY, 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 Berlin Pines, Inc's NPI number?

The NPI number for Berlin Pines, Inc is 1679913487. It was assigned to this organization in the NPPES registry on June 26, 2013.

Where is Berlin Pines, Inc located?

Berlin Pines, Inc is located at 642 Broadway, Berlin, WI 54923. The listed phone number is (920) 290-3090.

What is Berlin Pines, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Berlin Pines, Inc was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.