TDR INC (NPI# 1932107422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932107422 |
| Entity Type | Organization |
| Organization Name | TDR INC |
| Other Organization Name | RENNES HEALTH CENTER DEPERE |
| Practice Address |
200 S 9th St De Pere WI 54115-1393 |
| Mailing Address |
261 French St Peshtigo WI 54157-1217 |
| Practice Telephone | 9203365680 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | NEIL JOHNSON (TREASURER) |
| Authorized Official Telephone | 7155822200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2860 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20118400 | 05 |
| Other Name | Type Code |
|---|---|
| Rennes Health Center DePere | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | TDR INCOME TAX PREPARATION, LLC | Po Box 162, Rock City Falls, New York 12863 |
| Street Address |
200 S 9TH ST |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858521 | Ryan Robert Thyssen | Physical Therapist | 200 S 9th St, De Pere, WI 54115-1393 | 2020-07-13 |
| 1992274211 | Mitchell Vandenboogard | Occupational Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2018-11-15 |
| 1942708763 | Lisa A Senn | Speech-Language Pathologist | 200 S 9th St, De Pere, WI 54115-1393 | 2018-01-26 |
| 1467968313 | Ryan Patrick Bourdelais | Occupational Therapist | 200 S 9th St, De Pere, WI 54115-1393 | 2017-12-14 |
| 1245789551 | Lori Johansen | Physical Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2016-09-27 |
| 1467813550 | Gwendolyn Cordray | Physical Therapist | 200 S 9th St, De Pere, WI 54115-1393 | 2016-03-16 |
| 1942668884 | Alexandra Eggers | Physical Medicine & Rehabilitation | 200 S 9th St, De Pere, WI 54115-1393 | 2016-02-07 |
| 1104299494 | Melanie Sue Gonnering | Occupational Therapist | 200 S 9th St, De Pere, WI 54115-1393 | 2015-11-09 |
| 1205210093 | Christina Lapalm | Physical Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2015-07-13 |
| 1003208851 | Heather Ann Bancroft | Speech-Language Pathologist | 200 S 9th St, De Pere, WI 54115-1393 | 2015-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814664 | Ledge View Nursing Center | Skilled Nursing Facility | 3737 Dickinson Rd, De Pere, WI 54115-8797 | 2005-10-10 |
| 1093170813 | Crystal Fountains Rehabilitation Center LLC | Skilled Nursing Facility | 3737 Dickinson Rd, De Pere, WI 54115-8797 | 2015-12-21 |
| 1437552023 | Rennes Health and Rehab | Skilled Nursing Facility | 200 S 9th St, De Pere, WI 54115-1393 | 2014-09-26 |
| 1568611614 | Carrie Eve Doine | Skilled Nursing Facility | 200 S 9th St, De Pere, WI 54115-1393 | 2008-09-13 |
| 1023286739 | Rennes Therapy Service, Inc. | Skilled Nursing Facility | 200 S 9th St, De Pere, WI 54115-1393 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.