RENEST OF ILLINOIS SUPR
NPI 1871228494
Clinic/Center - Rehabilitation, Substance Use Disorder in Rockford, IL

NPI Status: Active since July 18, 2022

Contact Information

910 2ND AVE
ROCKFORD, IL
ZIP 61104
Phone: (844) 473-6378
Fax: (270) 246-9950

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About RENEST OF ILLINOIS SUPR

This page provides the complete NPI Profile along with additional information for Renest Of Illinois Supr, a provider established in Rockford, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1871228494 assigned on July 2022. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Theresa Waddell Cadc, Ma (Administrative Office)

NPI
1871228494
Provider Legal Name
RENEST OF ILLINOIS SUPR
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
910 2ND AVE ROCKFORD, IL 61104
Location Phone
(844) 473-6378
Location Fax
(270) 246-9950
Mailing Address
910 2ND AVE ROCKFORD, IL 61104
Mailing Phone
(270) 839-6743
Mailing Fax
(270) 246-9950
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2022
Last Update Date
03-14-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 
2324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THERESA WADDELL CADC, MA

Authorized Official Title
ADMINISTRATIVE OFFICE
Authorized Official Phone
(844) 473-6378

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A-00229-001-AMEDICAID (05)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871228494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 4 + 2 + 1 + 6 + 4 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1871228494.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Peer Specialist
910 2ND AVE
ROCKFORD, IL 61104
Behavior Technician
910 2ND AVE
ROCKFORD, IL 61104
Behavior Technician
910 2ND AVE
ROCKFORD, IL 61104
Behavior Technician
910 2ND AVE
ROCKFORD, IL 61104
Clinic/Center (Adult Mental Health)
910 2ND AVE
ROCKFORD, IL 61104
Behavior Technician
910 2ND AVE
ROCKFORD, IL 61104
Behavior Technician
910 2ND AVE
ROCKFORD, IL 61104
Behavior Technician
910 2ND AVE
ROCKFORD, IL 61104
Peer Specialist
910 2ND AVE
ROCKFORD, IL 61104
Behavior Technician
910 2ND AVE
ROCKFORD, IL 61104
Peer Specialist
910 2ND AVE
ROCKFORD, IL 61104
Behavior Technician
910 2ND AVE
ROCKFORD, IL 61104
Peer Specialist
910 2ND AVE
ROCKFORD, IL 61104
Peer Specialist
910 2ND AVE
ROCKFORD, IL 61104
Social Worker
910 2ND AVE
ROCKFORD, IL 61104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871228494, enumerated as an "organization" on July 18, 2022.

The provider is located at 910 2ND AVE ROCKFORD, IL 61104 and the phone number is (844) 473-6378.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.