Renest Residence Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RENEST RESIDENCE INC

Practice address

226 Adams Rd
Elizabethtown, KY 42701-1061

Phone

(844) 473-6378

Fax

(270) 246-9950

NPI assigned

May 14, 2026

Organization subpart

No

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

Authorized official

Name

Theresa Waddell, WADDDELL

Title

Administrative Officer

Phone

(270) 839-6743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1992634174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ADAMS RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011061",
            "telephone_number": "844-473-6378",
            "fax_number": "270-246-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 ADAMS RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011061",
            "telephone_number": "844-473-6378",
            "fax_number": "270-246-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEST RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "270-839-6743",
        "authorized_official_credential": "WADDDELL"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Reitzloff
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• Kellina Elizabeth Renfroe, BSN, RN
• Resp-a-Care Inc
• Nathaniel Restivo, APSS
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• Tanya F Revor, APRN-FNP

• Community/Behavioral Health Agency in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.