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

Active since July 18, 2022
910 2ND AVE, ROCKFORD, IL 61104(844) 473-6378(270) 246-9950 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Nov 3, 2022, Jul 18, 2022 (3 updates tracked since 2022).

About Renest Of Illinois Supr NPPES

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

RENEST OF ILLINOIS SUPR (NPI 1871228494), doing business as Renest, is a healthcare organization registered as a rehabilitation, substance use disorder in Rockford, Illinois and active in the NPI registry since July 2022. The organization lists Theresa Waddell, Administrative Office, as its authorized official.

NPPES Registry Identity

NPI1871228494
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRENEST OF ILLINOIS SUPR
Location Address910 2ND AVERockford, IL 61104-2162
Mailing Address910 2nd AveRockford, IL 61104-2162 · (270) 839-6743 · Fax (270) 246-9950
Fax(270) 246-9950
Organization SubpartNo
Authorized OfficialTheresa WaddellAdministrative Office · (844) 473-6378
Enumeration DateJuly 18, 2022
Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
NPI 1871228494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
910 2ND AVE, Rockford, IL 61104

Other Names 1

Doing Business AsRenest

Other Identifiers 1

MedicaidA-00229-001-AIL

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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
Social Worker
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

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 Renest Of Illinois Supr's NPI number?

The NPI number for Renest Of Illinois Supr is 1871228494. It was assigned to this organization in the NPPES registry on July 18, 2022. The provider is doing business as reNEST.

Where is Renest Of Illinois Supr located?

Renest Of Illinois Supr is located at 910 2nd Ave, Rockford, IL 61104. The listed phone number is (844) 473-6378.

What is Renest Of Illinois Supr's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Renest Of Illinois Supr was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.