RENAISSANCE - APPLETON
NPI 1063764942
Assisted Living Facility in Appleton, WI

Q: What is Rennes Assisted Living Corp.'s NPI number?

The NPI number for Rennes Assisted Living Corp. is 1063764942. It was assigned to this organization in the NPPES registry on October 3, 2012. The provider is doing business as Renaissance - Appleton.

Q: What is Rennes Assisted Living Corp.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since October 03, 2012CLIA 52D0983652 · Waiver

301 E FLORIDA AVE, APPLETON, WI 54911(920) 380-1100 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Renaissance - Appleton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE - APPLETON (NPI 1063764942) is a healthcare organization registered as an assisted living facility in Appleton, Wisconsin and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Neil Johnson, Controller, as its authorized official.

NPPES Registry Identity

NPI1063764942

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameRENNES ASSISTED LIVING CORP.

Location Address301 E FLORIDA AVEAppleton, WI 54911-1325

Mailing Address301 E Florida AveAppleton, WI 54911-1325 · (920) 380-1100

Phone(920) 380-1100

Organization SubpartNo

Authorized OfficialNeil JohnsonController · (715) 582-2200

Enumeration DateOctober 3, 2012

✔ NPI 1063764942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in WI · 13364

Definition

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.

301 E FLORIDA AVE, Appleton, WI 54911

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Other Names 1

Doing Business AsRenaissance - Appleton

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0983652

Renaissance,the · Appleton, WI

Active · expires Feb 26, 2027

CLIA Number52D0983652

Laboratory TypeAssisted Living Facility

Certificate Effective DateFebruary 27, 2025

Certificate Expiration DateFebruary 26, 2027

Laboratory DirectorKelli Davies

Laboratory Phone(920) 380-1100

Laboratory LocationRenaissance,the301 E Florida Ave, Appleton, WI 54911

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rennes Assisted Living Corp.'s NPI number?

The NPI number for Rennes Assisted Living Corp. is 1063764942. It was assigned to this organization in the NPPES registry on October 3, 2012. The provider is doing business as Renaissance - Appleton.

Where is Rennes Assisted Living Corp. located?

Rennes Assisted Living Corp. is located at 301 E Florida Ave, Appleton, WI 54911. The listed phone number is (920) 380-1100.

What is Rennes Assisted Living Corp.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Rennes Assisted Living Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0983652) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rennes Assisted Living Corp. was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.