Renest Residency Inc

LBN: Renest Recovery Support Services
Renest Residency Inc is an health care organization with primary practice located at 413 E Dixie Ave Ste 106 , Elizabethtown KY 42701-1162. The organization recently has 11 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Community/Behavioral Health is the primary health care specialty. Renest Recovery Support Services can be contacted via phone (270) 839-6743, or through Waddell, Theresa Ann via phone (270) 839-6743.

Contact Information

Primary practice address
413 E Dixie Ave Ste 106 Elizabethtown KY 42701-1162
Phone: (270) 839-6743
Fax: (270) 360-1188
Website:
Map and Directions
Authorized official contact:
Name: Waddell, Theresa Ann MA, CADC
Phone: (270) 839-6743

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1437624814
LBN Legal business name Renest Recovery Support Services
DBA Doing business as Renest Residency Inc
Authorized official Waddell, Theresa Ann MA, CADC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2018
Last updated Aug 24th, 2022 - about 2 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 1437624814 NPPES
Kentucky MEDICAID 0

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