RENAISSANCE - DEPERE
NPI 1831584937
Assisted Living Facility in De Pere, WI

Active since April 06, 2015CLIA 52D0983654 · Waiver
250 S 9TH ST, DE PERE, WI 54115(920) 983-5100 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Renaissance - Depere NPPES

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

RENAISSANCE - DEPERE (NPI 1831584937) is a healthcare organization registered as an assisted living facility in De Pere, Wisconsin and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Neil Johnson, Controller, as its authorized official.

NPPES Registry Identity

NPI1831584937
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRENNES ASSISTED LIVING CORP
Location Address250 S 9TH STDe Pere, WI 54115-3919
Mailing Address250 S 9th StDe Pere, WI 54115-3919 · (920) 983-5100
Organization SubpartNo
Authorized OfficialNeil JohnsonController · (715) 582-2200
Enumeration DateApril 6, 2015
NPI 1831584937 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 · 14532
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.
250 S 9TH ST, De Pere, WI 54115

Other Names 1

Doing Business AsRenaissance - Depere

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 52D0983654

Renaissance,the · De Pere, WI
Active · expires Feb 26, 2027
CLIA Number52D0983654
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorMr. Michael Miller
Laboratory Phone(920) 983-5100
Laboratory LocationRenaissance,the250 S Ninth St, De Pere, WI 54115
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.

Physical Therapy Assistant
250 S 9TH ST
DE PERE, WI 54115

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 1831584937. It was assigned to this organization in the NPPES registry on April 6, 2015. The provider is doing business as Renaissance - Depere.

Where is Rennes Assisted Living Corp located?

Rennes Assisted Living Corp is located at 250 S 9th St, De Pere, WI 54115. The listed phone number is (920) 983-5100.

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 52D0983654) 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 April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.