1. Home
  2. Directory
  3. Wisconsin
  4. Berlin
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

EVERGREEN PINES INC
NPI 1851721344
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Berlin, WI

Active since November 19, 2013
343 E CUMBERLAND ST, BERLIN, WI 54923(920) 290-3305 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Pines Inc NPPES

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

EVERGREEN PINES INC (NPI 1851721344) 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 November 2013. The organization lists Keri M Haywood, President, as its authorized official.

NPPES Registry Identity

NPI1851721344
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameEVERGREEN PINES INC
Location Address343 E CUMBERLAND STBerlin, WI 54923-1206
Mailing AddressPo Box 506Sparta, WI 54656-0506 · (920) 229-3664
Phone(920) 290-3305
Organization SubpartNo
Authorized OfficialKeri M HaywoodPresident · (920) 229-3664
Enumeration DateNovember 19, 2013
✔ NPI 1851721344 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 · 14846
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.
343 E CUMBERLAND ST, Berlin, WI 54923
Open in Google Maps ↗

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 Pines Inc's NPI number?

The NPI number for Evergreen Pines Inc is 1851721344. It was assigned to this organization in the NPPES registry on November 19, 2013.

Where is Evergreen Pines Inc located?

Evergreen Pines Inc is located at 343 E Cumberland St, Berlin, WI 54923. The listed phone number is (920) 290-3305.

What is Evergreen 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 Evergreen Pines Inc was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.