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EDEN HEALTH CARE
NPI 1548060296
Assisted Living Facility in Coon Rapids, MN

Active since March 13, 2025CLIA 24D2336135 · Waiver
219 106TH AVE NW, COON RAPIDS, MN 55448(612) 404-5110 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eden Health Care NPPES

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

EDEN HEALTH CARE (NPI 1548060296) is a healthcare organization registered as an assisted living facility in Coon Rapids, Minnesota and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through December 23, 2027 and lists Mahamud Mahamed, Director, as its authorized official.

NPPES Registry Identity

NPI1548060296
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDEN HEALTH CARE
Location Address219 106TH AVE NWCoon Rapids, MN 55448-5061
Mailing Address3492 Saint Charles PlEagan, MN 55122-1239
Phone(612) 404-5110
Organization SubpartNo
Authorized OfficialMahamud MahamedDirector · (612) 404-5110
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1548060296 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.
219 106TH AVE NW, Coon Rapids, MN 55448
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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 24D2336135

Eden Health Care · Coon Rapids, MN
Active · expires Dec 23, 2027
CLIA Number24D2336135
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorMahamud Mahamed
Laboratory Phone(612) 404-5110
Laboratory LocationEden Health Care219 06th Ave NW, Coon Rapids, MN 55448
CLIA data matches this NPI record on: 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 Eden Health Care's NPI number?

The NPI number for Eden Health Care is 1548060296. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is Eden Health Care located?

Eden Health Care is located at 219 106th Ave NW, Coon Rapids, MN 55448. The listed phone number is (612) 404-5110.

What is Eden Health Care's specialty?

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

Does Eden Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2336135) is associated with this NPI, valid through December 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eden Health Care was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.