RENNES HEALTH CENTER - EAST
NPI 1730187238
Skilled Nursing Facility in Peshtigo, WI

Active since July 08, 2005CLIA 52D0662028 · Waiver
701 WILLOW ST, PESHTIGO, WI 54157(715) 582-3962 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rennes Health Center - East NPPES

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

RENNES HEALTH CENTER - EAST (NPI 1730187238) is a healthcare organization registered as a skilled nursing facility in Peshtigo, Wisconsin and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Neil Johnson, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1730187238
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTDR, INC.
Location Address701 WILLOW STPeshtigo, WI 54157-1165
Mailing Address261 French StPeshtigo, WI 54157-1217
Organization SubpartNo
Authorized OfficialNeil JohnsonTreasurer · (715) 582-2200
Enumeration DateJuly 8, 2005
Last NPPES UpdateJanuary 22, 2009
NPI 1730187238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WI · 3118
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

701 WILLOW ST, Peshtigo, WI 54157

Other Names 1

Doing Business AsRennes Health Center - East

Other Identifiers 3

Medicaid20173100WI
Medicare ID-Type Unspecified525457WI
Medicaid21053600WI

Accepted Insurance

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 52D0662028

Rennes Health Center East · Peshtigo, WI
Active · expires Aug 31, 2026
CLIA Number52D0662028
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrandon Willms
Laboratory Phone(715) 582-3962
Laboratory LocationRennes Health Center East701 Willow St, Peshtigo, WI 54157
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Occupational Therapy Assistant
701 WILLOW ST
PESHTIGO, WI 54157
Physical Therapy Assistant
701 WILLOW ST
PESHTIGO, WI 54157
Physical Therapy Assistant
701 WILLOW ST
PESHTIGO, WI 54157
Physical Therapy Assistant
701 WILLOW ST
PESHTIGO, WI 54157
Physical Therapy Assistant
701 WILLOW ST
PESHTIGO, WI 54157
Speech-Language Pathologist
701 WILLOW ST
PESHTIGO, WI 54157
Speech-Language Pathologist
701 WILLOW ST
PESHTIGO, WI 54157
Occupational Therapist
701 WILLOW ST
PESHTIGO, WI 54157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730187238, enumerated as an "organization" on July 08, 2005.

The provider is located at 701 WILLOW ST PESHTIGO, WI 54157 and the phone number is (715) 582-3962.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource. Please consult your insurance carrier or call the provider to verify.