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EMBARK REENTRY LLC
NPI 1164239489
Clinic/Center - Adult Mental Health in Bloomington, MN

Active since December 11, 2024
8716 ELLIOT AVE S, BLOOMINGTON, MN 55420(612) 636-3060 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Embark Reentry Llc NPPES

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

EMBARK REENTRY LLC (NPI 1164239489) is a healthcare organization registered as an adult mental health in Bloomington, Minnesota and active in the NPI registry since December 2024. The organization lists Abdalla Ali, Owner, as its authorized official.

NPPES Registry Identity

NPI1164239489
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEMBARK REENTRY LLC
Location Address8716 ELLIOT AVE SBloomington, MN 55420-3024
Mailing Address8716 Elliot Ave SBloomington, MN 55420-3024
Phone(612) 636-3060
Organization SubpartNo
Authorized OfficialAbdalla AliOwner · (612) 636-3060
Enumeration DateDecember 11, 2024
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1164239489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
8716 ELLIOT AVE S, Bloomington, MN 55420
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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 Embark Reentry LLC's NPI number?

The NPI number for Embark Reentry LLC is 1164239489. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is Embark Reentry LLC located?

Embark Reentry LLC is located at 8716 Elliot Ave S, Bloomington, MN 55420. The listed phone number is (612) 636-3060.

What is Embark Reentry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Embark Reentry LLC was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.