Evergreen Manor,inc.
NPI 1386972024 · Mental Illness Community Based Residential Treatment Facility · Sparta, WI
Evergreen Manor,inc. is a Mental Illness Community Based Residential Treatment Facility organization in Sparta, WI (NPI 1386972024).
Provider details
- NPI number
- 1386972024
- 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
- License
- 0010512 (WI)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2009-11-18
- Last updated
- 2009-11-18
Frequently asked questions
- What is Evergreen Manor,inc.'s NPI number?
- Evergreen Manor,inc.'s National Provider Identifier (NPI) is 1386972024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Manor,inc.?
- Evergreen Manor,inc. is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Evergreen Manor,inc. located?
- Evergreen Manor,inc.'s practice location on file with NPPES is 8429 Idyllview Ave, Sparta, WI 54656-3617.
- What is Evergreen Manor,inc.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen Manor,inc. is (608) 487-9067.
- Who is the authorized official for Evergreen Manor,inc.?
- The authorized official listed on Evergreen Manor,inc.'s NPPES record is Larenda Rosin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Manor,inc.'s NPI active?
- Yes — Evergreen Manor,inc.'s NPI (1386972024) is active in the NPPES registry as of the last update on 2009-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.