Renest Recovery Support Services Of Illinois

LBN: Renest Recovery Support Services Of Illinois
Renest Recovery Support Services Of Illinois is an health care organization with primary practice located at 910 2Nd Ave , Rockford IL 61104-2162. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Renest Recovery Support Services Of Illinois can be contacted via phone (270) 839-6743, or through Waddell, Theresa Ann via phone (270) 839-6743.

Contact Information

Primary practice address
910 2Nd Ave Rockford IL 61104-2162
Phone: (270) 839-6743
Fax: (270) 246-9950
Website:
Map and Directions
Authorized official contact:
Name: Waddell, Theresa Ann
Phone: (270) 839-6743

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X

Profile Details

NPI number 1871228494
LBN Legal business name Renest Recovery Support Services Of Illinois
DBA Doing business as
Authorized official Waddell, Theresa Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2022
Last updated Nov 3rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871228494 NPPES
Illinois MEDICAID A-00229-001-A

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