Pine Valley Residential Services
NPI 1891126751 · Mental Illness Community Based Residential Treatment Facility · Mauston, WI
Pine Valley Residential Services is a Mental Illness Community Based Residential Treatment Facility organization in Mauston, WI (NPI 1891126751).
Provider details
- NPI number
- 1891126751
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jessica Schulz, Ceo / Owner Member LLC(608) 847-7575
- License
- AFH (WI)
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense AFH (WI)
Residential Treatment Facilities
Agencies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Other name
- Pine Valley Services
Additional practice locations (1)
- W1889 Koval RdLyndon Station, WI 53944-9398Phone: (608) 847-7575Fax: (608) 847-3096
Registry dates
- Enumerated
- 2013-12-03
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Frequently asked questions
- What is Pine Valley Residential Services's NPI number?
- Pine Valley Residential Services's National Provider Identifier (NPI) is 1891126751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Valley Residential Services?
- Pine Valley Residential Services is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Pine Valley Residential Services located?
- Pine Valley Residential Services's practice location on file with NPPES is 124 Grayside Ave, Mauston, WI 53948-1913.
- What is Pine Valley Residential Services's phone number?
- The practice phone number listed in the NPPES registry for Pine Valley Residential Services is (608) 847-7575.
- Who is the authorized official for Pine Valley Residential Services?
- The authorized official listed on Pine Valley Residential Services's NPPES record is Jessica Schulz, Ceo / Owner Member LLC. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Valley Residential Services's NPI active?
- Yes — Pine Valley Residential Services's NPI (1891126751) is active in the NPPES registry as of the last update on 2023-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.