Embark Reentry LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EMBARK REENTRY LLC

Practice address

8716 Elliot Ave S
Bloomington, MN 55420-3024

Phone

(612) 636-3060

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Abdalla Ali

Title

Owner

Phone

(612) 636-3060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1164239489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 ELLIOT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 ELLIOT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203024",
            "telephone_number": "612-636-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBARK REENTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-636-3060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cory L Emberland, DC
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• Isaac M. Embrock, DPT
• Emergency Physicians Professional Association
• Empire Transit LLC

• Adult Mental Health Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.