Organization provider

EVERGREEN MANOR,INC.

Mental Illness Community Based Residential Treatment Facility

EVERGREEN MANOR,INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1386972024, based in Sparta, WI. It is classified under Mental Illness Community Based Residential Treatment Facility.

Getting there

The practice address on file is 8429 IDYLLVIEW AVE, Sparta, WI 54656. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

8429 IDYLLVIEW AVE, Sparta, WI 54656 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0010512 WI Mental Illness Community Based… primary

This provider holds licence 0010512 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Community Based Residential Treatment Facility, Mental Illness covers

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NUCC Health Care Provider Taxonomy, code 320800000X
Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Illness

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1386972024 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateNov 18, 2009
Last updatedNov 18, 2009
StatusActive
Practice address 8429 IDYLLVIEW AVE
Sparta, WI 54656
(608) 487-9067
Fax (608) 487-9067
This record was last updated on Nov 18, 2009, roughly 16 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1386972024 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 8 6 9 7 2 0 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 7 6 9 7 4 0 4

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1386972024?
NPI 1386972024 is the National Provider Identifier assigned to EVERGREEN MANOR,INC. in Sparta, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Illness Community Based Residential Treatment Facility cover?
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
How do I contact EVERGREEN MANOR,INC.?
The phone number on file with NPPES is (608) 487-9067, last updated Nov 18, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1386972024 a valid number?
Yes. 1386972024 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.