Reliance Recovery Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RELIANCE RECOVERY CENTER LLC

Practice address

1821 University Ave W Ste 292
Saint Paul, MN 55104-4535

Phone

(763) 442-6334

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Salah AhmedNPI 1093272833

Title

Owner

Phone

(763) 442-6334

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Salah Mohamud Ahmed

  • Social Worker
  • Bloomington, MN
  • NPI 1093272833
  NPD Authorized official

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1700457165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 292",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 292",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044535",
            "telephone_number": "763-442-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SALAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-442-6334"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.