Healthcare Provider Details

I. General information

NPI: 1871450148
Provider Name (Legal Business Name): RELIANCE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 MOORE LAKE DR E STE 200O
FRIDLEY MN
55432-5134
US

IV. Provider business mailing address

1250 MOORE LAKE DR E STE 200O
FRIDLEY MN
55432-5134
US

V. Phone/Fax

Practice location:
  • Phone: 612-207-7309
  • Fax: 612-421-1238
Mailing address:
  • Phone: 612-207-7309
  • Fax: 612-421-1238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MUNA OMAR HASSAN
Title or Position: CEO MANAGING DIRECTOR
Credential: LALD
Phone: 612-402-9116