Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Renest of Illinois Supr

Substance Use Disorder Rehabilitation Clinic/Center in Rockford, IL · enumerated 2022 · authorized official Theresa Waddell, Administrative Office.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871228494

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Registry record

Entity type Organization (Type 2)

Legal business name Renest of Illinois Supr

Other name <Unavail>

Practice address 910 2nd Ave, Rockford, IL, 61104

Phone (844) 473-6378

Fax (270) 246-9950

Enumeration date Jul 18, 2022

Last updated in NPPES Mar 14, 2025

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

276400000X Substance Use Disorder Rehabilitation Hospital Unit Hospital Units Secondary

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary

Authorized official

Name Theresa Waddell

Title Administrative Office

Phone (844) 473-6378

Other identifiers

Identifier	Type	State	Issuer
A-00229-001-A	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Renest of Illinois Supr located?

The practice location on file with NPPES is in Rockford, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-03-14. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Christina Hobson Social Worker · Rockford, IL NPI 1215565825 Renest Recovery Support Services of Illinois Adult Mental Health Clinic/Center · Rockford, IL NPI 1093307266 Yolanda Lynch Peer Specialist · Rockford, IL NPI 1427805324 Sharelda Dean Behavior Technician · Rockford, IL NPI 1053287102 Ruby Gowdy Behavior Technician · Rockford, IL NPI 1578439451 Mary Buresh Behavior Technician · Rockford, IL NPI 1023985744 Nettie Tenner Behavior Technician · Rockford, IL NPI 1871461269 Nadine Hobson Behavior Technician · Rockford, IL NPI 1386512788

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-14.