NPIMap

Organization Active NPI

Renest Recovery Support Services of Illinois

  • Adult Mental Health Clinic/Center
  • Rockford, IL
National Provider Identifier
1093307266
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RENEST RECOVERY SUPPORT SERVICES OF ILLINOIS
Practice address
910 2ND Ave
Rockford, IL 61104-2162
Phone
(270) 839-6743
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Christina Nicole Hobson, APSS
Title
Authorized Official, Human Resource
Phone
(844) 473-6378

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

910 2ND Ave
Rockford, IL 61104-2162

Mailing address

910 2ND Ave
Rockford, IL 61104-2162
Phone (270) 839-6743

Other names 1

  • reNEST Recovery Support Service Rockford LLC Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1093307266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 2ND AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042162",
            "telephone_number": "270-839-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 2ND AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042162",
            "telephone_number": "270-839-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEST RECOVERY SUPPORT SERVICES OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, HUMAN RESOURCE",
        "authorized_official_telephone_number": "844-473-6378",
        "authorized_official_credential": "APSS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "reNEST Recovery Support Service Rockford LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "reNEST Recovery Support Service Rockford LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.