PINE VALLEY SERVICES
NPI 1891126751
Community Based Residential Treatment Facility, Mental Illness in Mauston, WI

Q: What is Pine Valley Residential Services's NPI number?

The NPI number for Pine Valley Residential Services is 1891126751. It was assigned to this organization in the NPPES registry on December 3, 2013. The provider is also known as Pine Valley Services.

Q: What is Pine Valley Residential Services's specialty?

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

Active since December 03, 2013

124 GRAYSIDE AVE, MAUSTON, WI 53948(608) 847-7575(608) 847-3096 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, May 14, 2019, Jul 12, 2016 (3 updates tracked since 2016).

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About Pine Valley Services NPPES

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

PINE VALLEY SERVICES (NPI 1891126751) is a healthcare organization registered as a community based residential treatment facility, mental illness in Mauston, Wisconsin and active in the NPI registry since December 2013. The organization maintains a secondary practice location in Lyndon Station and lists Jessica Schulz, Ceo / Owner Member Llc, as its authorized official.

NPPES Registry Identity

NPI1891126751

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NamePINE VALLEY RESIDENTIAL SERVICES

Location Address124 GRAYSIDE AVEMauston, WI 53948-1913

Mailing AddressPo Box 359Mauston, WI 53948-0359 · (608) 847-7575 · Fax (608) 847-3096

Phone(608) 847-7575

Fax(608) 847-3096

Organization SubpartNo

Authorized OfficialJessica SchulzCeo / Owner Member Llc · (608) 847-7575

Enumeration DateDecember 3, 2013

Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1891126751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in WI · AFH

Definition

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

Also ListedCase ManagementTaxonomy 251B00000X · License 7163-123 (WI)

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 7163-123 (WI)

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License AFH (WI)

124 GRAYSIDE AVE, Mauston, WI 53948

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Other Names 1

Other NamePine Valley Services

Secondary Practice Location 1

Location 1W1889 Koval RdLyndon Station, WI 53944-9398 · Phone (608) 847-7575 · Fax (608) 847-3096

Other Providers at the Same Location NPPES 14

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

PINE VALLEY INTEGRATED SERVICES LLC

Community/Behavioral Health