NPIMap

Organization Active NPI

Renest Recovery Support Services

Doing business as reNEST

  • Community/Behavioral Health Agency
  • Elizabethtown, KY
National Provider Identifier
1437624814
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RENEST RECOVERY SUPPORT SERVICES
Doing business as
reNEST
Practice address
400 Ring Rd Ste 155
Elizabethtown, KY 42701-8790
Phone
(844) 473-6378
Fax
(270) 246-9950
NPI assigned
Oct 11, 2018
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theresa Ann Waddell, MA, CADCNPI 1669843710
Title
Executive Director
Phone
(844) 473-6378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

400 Ring Rd Ste 155
Elizabethtown, KY 42701-8790

Mailing address

400 Ring Rd Ste 155
Elizabethtown, KY 42701-8790
Phone (844) 473-6378

Other practice location 1

400 Ring Rd Ste 140
Elizabethtown, KY 42701-8799
Phone (844) 473-6378 ext. 700

Other practice location 2

226 Adams Rd
Elizabethtown, KY 42701-1061
Phone (844) 473-6378

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidKY

Other names 2

  • reNEST Doing business as
  • reNEST Residency Inc Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL renestforwomen@gmail.com
Other URL renestforwomen@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Renest Recovery Support Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 Ring Rd
Ste 140
Elizabethtown, KY 42701
Phone 8444736378 ext. 700

400 Ring Rd
Ste 155400
Elizabethtown, KY 42701

413 E Dixie Ave
#106
Elizabethtown, KY 42701
Phone (270) 319-9899

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1437624814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RING RD STE 155",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018790",
            "telephone_number": "844-473-6378",
            "fax_number": "270-360-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RING RD STE 155",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018790",
            "telephone_number": "844-473-6378",
            "fax_number": "270-246-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Ring Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427018799",
            "country_code": "US",
            "telephone_number": "844-473-6378 x700",
            "fax_number": "270-246-9950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Adams Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427011061",
            "country_code": "US",
            "telephone_number": "844-473-6378",
            "fax_number": "270-360-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEST RECOVERY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "844-473-6378",
        "authorized_official_credential": "MA, CADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "renestforwomen@gmail.com",
            "affiliation": "N",
            "address_1": "226 Adams Rd Apt A",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427011061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "renestforwomen@gmail.com",
            "affiliation": "N",
            "address_1": "226 Adams Rd Apt A",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427011061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "reNEST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "reNEST Residency Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.