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RALIANCE GROUP HOME LLC
NPI 1053176149
Assisted Living Facility in Minneapolis, MN

Active since February 16, 2024CLIA 24D2343545 · Waiver
2618 LONGFELLOW AVE, MINNEAPOLIS, MN 55407(612) 702-4834 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raliance Group Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALIANCE GROUP HOME LLC (NPI 1053176149) is a healthcare organization registered as an assisted living facility in Minneapolis, Minnesota and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Fadil Ali, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053176149
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRALIANCE GROUP HOME LLC
Location Address2618 LONGFELLOW AVEMinneapolis, MN 55407-1230
Mailing Address2618 Longfellow AveMinneapolis, MN 55407-1230 · (612) 702-4834
Phone(612) 702-4834
Organization SubpartNo
Authorized OfficialFadil AliAdministrator · (612) 702-4834
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1053176149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2618 LONGFELLOW AVE, Minneapolis, MN 55407
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2343545

Raliance Group Home LLC · Minneapolis, MN
Active · expires May 6, 2028
CLIA Number24D2343545
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorAli Fadil
Laboratory Phone(612) 702-4834
Laboratory LocationRaliance Group Home LLC2618 Longfellow Ave, Minneapolis, MN 55407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raliance Group Home LLC's NPI number?

The NPI number for Raliance Group Home LLC is 1053176149. It was assigned to this organization in the NPPES registry on February 16, 2024.

Where is Raliance Group Home LLC located?

Raliance Group Home LLC is located at 2618 Longfellow Ave, Minneapolis, MN 55407. The listed phone number is (612) 702-4834.

What is Raliance Group Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Raliance Group Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2343545) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Raliance Group Home LLC was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.