Cedar Pines Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CEDAR PINES INC.

Practice address

101 W Division St
Wautoma, WI 54982-8467

Phone

(920) 229-3664

NPI assigned

Nov 22, 2011

Last updated

Nov 22, 2011By 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

Mrs. Larenda L Rosin

Title

President

Phone

(920) 229-3664

Specialties & licenses 1

Addresses

Tax ID family

Cedar Pines Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cedar Pines, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Wautoma, WI
  • NPI 1144500331
  NPD tax ID

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1881961688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546560506",
            "telephone_number": "920-229-3664",
            "fax_number": "608-487-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W DIVISION ST",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549828467",
            "telephone_number": "920-229-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PINES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "ROSIN",
        "authorized_official_first_name": "LARENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-229-3664",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dino J Bordini, D.D.S.
• David J Brown, DDS
• Kaitlyn Bruening, RDH
• Kathleen Busse, RDH
• Joseph W Caron, MD
• Cedar Pines, Inc
• Caroline Chalk, LPC-IT, SAC-IT
• Chiroplus Complementary Healthcare Centers, LLC
• Chiropractic Health and Wellness Center of Wautoma, Inc
• Renny Cho, DDS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wautoma, WI
• Providers in Wautoma, WI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.