PINE VALLEY RESIDENTIAL SERVICES
PINE VALLEY RESIDENTIAL SERVICES is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1891126751, based in Mauston, WI. The organization lists 4 taxonomy classifications, with Mental Illness Community Based Residential Treatment Facility recorded as primary.
Getting there
The practice address on file is 124 GRAYSIDE AVE, Mauston, WI 53948. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| AFH | WI | Intellectual and/or Developmental… |
| 7163-123 | WI | Case Management Agency |
| 7163-123 | WI | Community/Behavioral Health Agency |
| AFH | WI | Mental Illness Community Based… primary |
This provider holds licence AFH issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
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
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | AFH | WI | |
| 251B00000X | Case Management Agency | 7163-123 | WI | |
| 251S00000X | Community/Behavioral Health Agency | 7163-123 | WI | |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | AFH | WI | primary |
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.
| NPI | 1891126751 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 3, 2013 |
| Last updated | Aug 28, 2023 |
| Status | Active |
| Practice address |
124 GRAYSIDE AVE Mauston, WI 53948 (608) 847-7575 Fax (608) 847-3096 |
| Mailing address |
PO BOX 359 Mauston, WI 53948 |
| Other names |
Pine Valley Services Other Name |
Number check
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 | 8 | 9 | 1 | 1 | 2 | 6 | 7 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 9 | 1 | 2 | 2 | 3 | 7 | 1 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
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.