Renest of Illinois Supr
NPI 1871228494 · Substance Use Disorder Rehabilitation Clinic/Center · Rockford, IL
Renest of Illinois Supr is a Substance Use Disorder Rehabilitation Clinic/Center organization in Rockford, IL (NPI 1871228494).
Provider details
- NPI number
- 1871228494
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theresa Waddell, Administrative Office(844) 473-6378
Specialties & taxonomies
Ambulatory Health Care Facilities
Hospital Units
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Renest
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Renest of Illinois Supr's NPI number?
- Renest of Illinois Supr's National Provider Identifier (NPI) is 1871228494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renest of Illinois Supr?
- Renest of Illinois Supr is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renest of Illinois Supr located?
- Renest of Illinois Supr's practice location on file with NPPES is 910 2nd Ave, Rockford, IL 61104-2162.
- What is Renest of Illinois Supr's phone number?
- The practice phone number listed in the NPPES registry for Renest of Illinois Supr is (844) 473-6378.
- Who is the authorized official for Renest of Illinois Supr?
- The authorized official listed on Renest of Illinois Supr's NPPES record is Theresa Waddell, Administrative Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renest of Illinois Supr's NPI active?
- Yes — Renest of Illinois Supr's NPI (1871228494) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.