RENEST RECOVERY SUPPORT SERVICES NPI 1437624814

NPI Information

NPI: 1437624814
Provider Name: RENEST RECOVERY SUPPORT SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
:
CLIA Number: 18D2186874
Address: 400 RING RD STE 155
ELIZABETHTOWN, KY
ZIP 42701
Phone: (844) 473-6378

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NPI Details

RENEST RECOVERY SUPPORT SERVICES is a community behavioral health in Elizabethtown, KY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RENEST RECOVERY SUPPORT SERVICES NPI is 1437624814. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

400 RING RD STE 155
ELIZABETHTOWN, KY
ZIP 42701-790
Phone: (844) 473-6378
Fax: (270) 246-9950

The provider's authorized official is Theresa Ann Waddell .
The authorized official title is Executive Director and has the following contact phone number (844) 473-6378.

The CLIA number assigned to this NPI record is 18D2186874 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/11/2018 and was last updated on 9/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	343900000X	Non-emergency Medical Transport (VAN)		No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QM1300X	Clinic/Center	Multi-Specialty	No
6	171M00000X	Case Manager/Care Coordinator		No
7	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
8	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
9	175T00000X	Peer Specialist		No
10	324500000X	Substance Abuse Rehabilitation Facility		No
11	251S00000X	Community/Behavioral Health		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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