Renew Residential Treatment Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RENEW RESIDENTIAL TREATMENT SERVICES

Practice address

400 Venters LN
Pikeville, KY 41501-3016

Phone

(606) 653-1874

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Amber Sisco

Title

Owner

Phone

(606) 658-3078

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookside Doing business as

Locations

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1760846232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1285",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415021285",
            "telephone_number": "606-658-3078",
            "fax_number": "606-773-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VENTERS LN",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013016",
            "telephone_number": "606-653-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW RESIDENTIAL TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-658-3078"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100851810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee E Reeder, OD
• Douglas Mitchell Reeves, MD
• Regina Coleman Compton, O.D., PSC
• Ashley Reinstetle, OD
• Renew Addiction Treatment Center
• Katelyn Alexandra Rentel, LPCC
• Respiratory Plus Healthcare Inc
• Betty Sue Reynolds, APRN
• Christopher C. Reynolds, M.D.
• Christopher Cody Reynolds, D.O

• Substance Abuse Rehabilitation Facility in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.