Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Berlin Pines, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1679913487

Berlin Pines, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Berlin, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

642 Broadway
Berlin, WI 54923-1302
Phone: (920) 290-3090
Fax: (920) 290-3090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 0014624 (WI)

Record details

NPI number1679913487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keri Haywood — Owner · (920) 229-3664
NPI enumeratedJune 26, 2013
Last updated in NPPESJune 26, 2013
Mailing addressPo Box 506, Sparta, WI 54656-0506

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