NPIMap

Organization Active NPI

Rennes Assisted Living Corp

  • Assisted Living Facility
  • Peshtigo, WI
National Provider Identifier
1336846807
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RENNES ASSISTED LIVING CORP
Practice address
725 Willow Street
Peshtigo, WI 54157
Phone
(715) 582-2200
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Neil Johnson
Title
Controller
Phone
(715) 582-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

725 Willow Street
Peshtigo, WI 54157

Mailing address

261 French St
Peshtigo, WI 54157-1217
Phone (715) 582-2200

Other names 1

  • The Residence by Rennes Peshtigo Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2286787Residence by Rennes-Peshtigo725 Willow St, Peshtigo, WI 54157Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory
Tax ID family
Rennes Assisted Living Corp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

725 Willow St
Peshtigo, WI 54157
Phone (715) 582-2200

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1336846807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 FRENCH ST",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571217",
            "telephone_number": "715-582-2200",
            "fax_number": "715-582-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WILLOW STREET",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "54157",
            "telephone_number": "715-582-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENNES ASSISTED LIVING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "715-582-2200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Residence by Rennes Peshtigo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peshtigo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.