OrganizationActive
Evergreen Home of Berlin, Inc.
NPI 1063742526 · Mental Illness Community Based Residential Treatment Facility · Berlin, WI
Provider details
- NPI number
- 1063742526
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Larenda Rosin, President(608) 487-9067
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
508 E Marquette St
Berlin, WI 54923-9404
Phone: (920) 361-3231
Fax: (920) 361-3231
Street-level locationGet directions
Mailing address
8429 Idyllview Ave
Sparta, WI 54656-3617
Registry dates
- Enumerated
- 2010-01-06
- Last updated
- 2010-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.