Evergreen Home Of Berlin, Inc.
LBN: Evergreen Home Of Berlin, Inc.
Evergreen Home Of Berlin, Inc. is an health care organization with primary practice located at 508 E Marquette St , Berlin WI 54923-9404. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Evergreen Home Of Berlin, Inc. can be contacted via phone (920) 361-3231, or through Rosin, Larenda L via phone (608) 487-9067.
Contact Information
Primary practice address
508 E Marquette St
Berlin WI 54923-9404
Phone: (920) 361-3231
Fax: (920) 361-3231
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
NPI number | 1063742526 |
---|---|
LBN Legal business name | Evergreen Home Of Berlin, Inc. |
DBA Doing business as | |
Authorized official | Rosin, Larenda L |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 6th, 2010 |
Last updated | Jan 6th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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