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Evergreen Manor III, Inc

Mental Illness Community Based Residential Treatment Facility in Sparta, WI · enumerated 2009 · authorized official Larenda Rosin, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033447776

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Manor III, Inc
Practice address 8429 Idyllview Ave, Sparta, WI, 54656
Phone (608) 487-9067
Fax (608) 487-9067
Enumeration date Nov 18, 2009
Last updated in NPPES Nov 18, 2009

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License 0011807 (WI) Primary

Authorized official

Name Larenda Rosin
Title President
Phone (608) 487-9067

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Evergreen Manor III, Inc located?
The practice location on file with NPPES is in Sparta, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-11-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-18.