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RENNES ASSISTED LIVING CORP. NPI 1619206661


NPI Information

NPI: 1619206661
Provider Name: RENNES ASSISTED LIVING CORP.

Doing Business As: RENAISSANCE - WISCONSIN RAPIDS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 52D0983653

Address:
1500 PEPPER AVE
WISCONSIN RAPIDS, WI
ZIP 54494
Phone: (715) 424-6500
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RENNES ASSISTED LIVING CORP. is an assisted living facility in Wisconsin Rapids, WI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RENNES ASSISTED LIVING CORP. NPI is 1619206661. The provider is registered as an organization entity type.
The provider Is Doing Business As Renaissance - Wisconsin Rapids.

The provider's business location address is:

1500 PEPPER AVE
WISCONSIN RAPIDS, WI
ZIP 54494-417
Phone: (715) 424-6500

The provider's authorized official is Neil Johnson .
The authorized official title is Controller and has the following contact phone number (715) 582-2200.

The CLIA number assigned to this NPI record is 52D0983653 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 12/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility13051WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.