RENEE M COLEMAN (NPI# 1114172954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114172954 |
| Entity Type | Individual |
| Full Name | RENEE M COLEMAN |
| Practice Address |
1971 21 15/16 St Rice Lake WI 54868-8583 |
| Mailing Address |
1971 Country Aire Drive Rice Lake WI 54868 |
| Practice Telephone | 7152342122 |
| Practice Fax Number | 7152342122 |
| Mailing Telephone | 7152342122 |
| Mailing Fax Number | 7152342122 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420544 | Renee Coleman | Behavioral Analyst | 230 Veterans Blvd, Denham Springs, LA 70726-4725 | 2018-03-12 |
| 1790147569 | Renee Coleman | Nurse Practitioner | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2016-03-22 |
| 1104213933 | Renee Coleman | Anesthesiology | 500 University Dr, Hershey, PA 17033-2360 | 2015-04-20 |
| 1720420698 | Renee Marvette Coleman | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2013-07-22 |
| 1699077156 | Renee Schwartzenburg Coleman | Physician Assistant | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2010-12-03 |
| 1447392683 | Renee Louise Coleman | Physician Assistant | 1411 E 31st St, Dept. of Maternal Child Health, Oakland, CA 94602-1018 | 2007-02-13 |
| 1053371740 | Renee L Coleman | Physician Assistant | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-03-25 |
| Street Address |
1971 21 15/16 ST |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-8583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597933 | Mount Pleasant Homes LLP | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1917 Mount Pleasant St, Racine, WI 53404-2236 | 2020-10-28 |
| 1730736927 | Horizon Life Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 217 Wisconsin Ave Ste 201, Waukesha, WI 53186-4946 | 2019-08-22 |
| 1316457203 | James Cares LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2422 Marshall Sq, Kansasville, WI 53139-9763 | 2017-10-05 |
| 1497271449 | Rescare Residentail Services Wisconsin, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 S Pelham St, Rhinelander, WI 54501-3316 | 2017-08-21 |
| 1144756685 | Safe Haven Senior Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 E 19th St, Marshfield, WI 54449-5074 | 2017-05-03 |
| 1407209109 | Shepherds Baptist Ministries Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1805 15th Ave, Union Grove, WI 53182-1527 | 2016-07-18 |
| 1790140382 | Iris Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2339 N 60th St, Wauwatosa, WI 53210-2220 | 2015-12-23 |
| 1316312218 | A Place for Miracles Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7022 N 43rd St, Milwaukee, WI 53209-2219 | 2015-12-03 |
| 1396088639 | Bell Therapy, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 628 S 68th St, Milwaukee, WI 53214-1608 | 2013-04-05 |
| 1790039519 | Harbor Hope Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1626 S Park Ave, 908 Baldwin St, Neenah, WI 54956-5025 | 2012-10-31 |
| Find all providers with the same taxonomy | ||||
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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.