Hidden Pines, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HIDDEN PINES, INC.

Practice address

N5085 18TH Rd
Wild Rose, WI 54984-5915

Phone

(920) 622-3711

Fax

(920) 622-3711

NPI assigned

Dec 3, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larenda Rosin

Title

President

Phone

(608) 487-9067

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1730417783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8429 IDYLLVIEW AVE",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546563617",
            "telephone_number": "608-487-9067",
            "fax_number": "608-487-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5085 18TH RD",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549845915",
            "telephone_number": "920-622-3711",
            "fax_number": "920-622-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN PINES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "ROSIN",
        "authorized_official_first_name": "LARENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-487-9067"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Alan Gerloff, PT
• Jessica Elizabeth Handrich, COTA
• Bethany Anne Hanson
• Gregory Harley, PA
• Tara Herides, PTA
• Heide Holling, MD
• Verona Maierhofer Ittiara, M.D.
• Crystal A Kahikina, PTA
• Richard A Kiraly, NP
• Frances Norene Lein, NP

• Mental Illness Community Based Residential Treatment Facility in Wild Rose, WI
• Providers in Wild Rose, WI by specialty
• Mental Illness Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.