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EL-SHADDAI ASSISTED LIVING INC
NPI 1063329985
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Coon Rapids, MN

Q: What is El-Shaddai Assisted Living Inc's NPI number?

The NPI number for El-Shaddai Assisted Living Inc is 1063329985. It was assigned to this organization in the NPPES registry on August 26, 2026.

Q: What is El-Shaddai Assisted Living Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since August 26, 2026

2566 112TH AVE NW, COON RAPIDS, MN 55433(612) 735-3136 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About El-shaddai Assisted Living Inc NPPES

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

EL-SHADDAI ASSISTED LIVING INC (NPI 1063329985) is a healthcare organization registered as an assisted living, behavioral disturbances in Coon Rapids, Minnesota and active in the NPI registry since August 2026. The organization lists Chaltu Rabu, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1063329985

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameEL-SHADDAI ASSISTED LIVING INC

Location Address2566 112TH AVE NWCoon Rapids, MN 55433-3562

Mailing Address2566 112th Ave NwCoon Rapids, MN 55433-3562 · (612) 735-3136

Phone(612) 735-3136

Organization SubpartNo

Authorized OfficialChaltu RabuOwner/manager · (612) 735-3136

Enumeration DateAugust 26, 2026

NPPES CertifiedAugust 26, 2026

✔ NPI 1063329985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

2566 112TH AVE NW, Coon Rapids, MN 55433

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE ASSISTED LIVING LLC

Assisted Living Facility

2566 112TH AVE NW
COON RAPIDS, MN 55433

Anoka County (612) 227-4036

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 El-Shaddai Assisted Living Inc's NPI number?

The NPI number for El-Shaddai Assisted Living Inc is 1063329985. It was assigned to this organization in the NPPES registry on August 26, 2026.

Where is El-Shaddai Assisted Living Inc located?

El-Shaddai Assisted Living Inc is located at 2566 112th Ave NW, Coon Rapids, MN 55433. The listed phone number is (612) 735-3136.

What is El-Shaddai Assisted Living Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for El-Shaddai Assisted Living Inc was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.