Organization Active NPI

Reliance Support LLC

  • Rehabilitation Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1306725825
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
RELIANCE SUPPORT LLC
Practice address
2743 Lyndale Ave S Apt 216
Minneapolis, MN 55408-2197
Phone
(612) 998-9716
NPI assigned
Aug 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Bisharo Hared Elmi
Title
Founder/Managing Director
Phone
(612) 998-9716

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Rehabilitation Clinic/Center 261QR0400X Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X

Addresses

Primary practice location

2743 Lyndale Ave S Apt 216
Minneapolis, MN 55408-2197

Mailing address

2743 Lyndale Ave S Apt 216
Minneapolis, MN 55408-2197
Phone (612) 998-9716

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1306725825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 LYNDALE AVE S APT 216",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082197",
            "telephone_number": "612-998-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 LYNDALE AVE S APT 216",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082197",
            "telephone_number": "612-998-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "BISHARO",
        "authorized_official_middle_name": "HARED",
        "authorized_official_title_or_position": "FOUNDER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "612-998-9716"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.