RENAISSANCE - WESTON
NPI 1578892527
Assisted Living Facility in Weston, WI

Active since December 21, 2009CLIA 52D1064179 · Waiver
4602 BARBICAN AVE, WESTON, WI 54476(715) 355-5858 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renaissance - Weston NPPES

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

RENAISSANCE - WESTON (NPI 1578892527) is a healthcare organization registered as an assisted living facility in Weston, Wisconsin and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Neil Johnson, Controller, as its authorized official.

NPPES Registry Identity

NPI1578892527
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRENNES ASSISTED LIVING CORP.
Location Address4602 BARBICAN AVEWeston, WI 54476-4178
Mailing Address4602 Barbican AveWeston, WI 54476-4178 · (715) 355-5858
Organization SubpartNo
Authorized OfficialNeil JohnsonController · (715) 582-2200
Enumeration DateDecember 21, 2009
NPI 1578892527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
4602 BARBICAN AVE, Weston, WI 54476

Other Names 1

Doing Business AsRenaissance - Weston

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 52D1064179

Renaissance, The · Weston, WI
Active · expires Jan 30, 2027
CLIA Number52D1064179
Laboratory TypeOther
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorCarol Kuklinski
Laboratory Phone(715) 355-5858
Laboratory LocationRenaissance, The4602 W Barbican Ave, Weston, WI 54476
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
4602 BARBICAN AVE
WESTON, WI 54476

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 1578892527. It was assigned to this organization in the NPPES registry on December 21, 2009. The provider is doing business as Renaissance - Weston.

Where is Rennes Assisted Living Corp. located?

Rennes Assisted Living Corp. is located at 4602 Barbican Ave, Weston, WI 54476. The listed phone number is (715) 355-5858.

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 52D1064179) is associated with this NPI, valid through January 30, 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 December 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.