TDR, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3118 Issued in WI

Legal business name

TDR, INC.

Doing business as

Rennes Health Center - East

Practice address

701 Willow St
Peshtigo, WI 54157-1165

Phone

(715) 582-3962

NPI assigned

Jul 8, 2005

Last updated

Jan 22, 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

Neil Johnson

Title

Treasurer

Phone

(715) 582-2200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rennes Health Center - East Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730187238. Details of each certification follow.

• CCN 525457 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525457

Legal name

TDR INC

Doing business as

RENNES HEALTH & REHAB CENTER - EAST

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1990

Last certification

Dec 11, 2024

Beds

50

Ownership / control type

Corporation

Multi-facility organization

TDR, Inc.

Organization structure

CorporationProprietary

Incorporated

Apr 21, 1980 in WI

Enrollment address

701 Willow St
Peshtigo, WI 54157-1165

Nursing home name

RENNES HEALTH AND REHAB CENTER-EAST

Affiliated entity

RENNES GROUP

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• TDR Inc

  dba Rennes Health Center DePere

  • Skilled Nursing Facility
  • De Pere, WI
  • NPI 1932107422

  0143246934

  Same PAC ID
• TDR, Inc.

  dba Rennes Health Center - Appleton

  • Skilled Nursing Facility
  • Appleton, WI
  • NPI 1386642874

  0143246934

  Same PAC ID
• TDR, Inc.

  dba Rennes Health & Rehab Center - Weston

  • Skilled Nursing Facility
  • Weston, WI
  • NPI 1841438132

  0143246934

  Same PAC ID

Listed as

Rennes Health and Rehab Center-EastCCN 525457 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5049.6 residents per day on average

Chain

Rennes Group6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Rennes Health Center - Appleton4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• TDR Inc

  dba Rennes Health Center DePere

  • Skilled Nursing Facility
  • De Pere, WI
  • NPI 1932107422
  NPD tax ID
• TDR, Inc.

  dba Rennes Health Center - Appleton

  • Skilled Nursing Facility
  • Appleton, WI
  • NPI 1386642874
  NPD tax ID
• TDR, Inc.

  dba Rennes Health & Rehab Center - Weston

  • Skilled Nursing Facility
  • Weston, WI
  • NPI 1841438132
  NPD tax ID

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Matthew Brian Kowalke, MD

  • Internal Medicine Physician
  • Marinette, WI
  • NPI 1932605425

  Nursing home

  Care Compare affiliation
• Tyler Dean Manley, DO

  • Family Medicine Physician
  • Marinette, WI
  • NPI 1740708361

  Nursing home

  Care Compare affiliation
• Jon L Simmons, MD

  • Family Medicine Physician
  • Marinette, WI
  • NPI 1336189075

  Nursing home

  Care Compare affiliation
• Pawneet P Singh, MD

  • Family Medicine Physician
  • Crivitz, WI
  • NPI 1174779243

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1730187238",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WILLOW ST",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571165",
            "telephone_number": "715-582-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "715-582-2200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20173100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21053600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rennes Health Center - East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Smith, OTR
• Bridget Lynn Soderbeck, PTA
• Linda M. Stoffle, M.S., LPC-IT
• Rodney R Story, MD
• Target Investments Inc (Travel Aide)
• William Tobin
• Michelle Vande Hei McVane
• Julie Marie Vanhorn, PTA
• Vanwinkle Family Chiropractic, LLC
• Carrie L Vanwinkle, DC

• Skilled Nursing Facility in Peshtigo, WI
• Providers in Peshtigo, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.