EDAN OAK LLC
NPI 1760274203
Assisted Living Facility - Assisted Living, Mental Illness in Eden Prairie, MN

Q: What is Edan Oak LLC's NPI number?

The NPI number for Edan Oak LLC is 1760274203. It was assigned to this organization in the NPPES registry on May 20, 2025. The provider is doing business as Edan Oak assisted living.

Q: What is Edan Oak LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Q: When was this NPI record last updated?

The NPPES record for Edan Oak LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 20, 2025

6216 BAKER RD, EDEN PRAIRIE, MN 55346(612) 644-0643 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Edan Oak Llc NPPES

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

EDAN OAK LLC (NPI 1760274203), doing business as Edan Oak Assisted Living, is a healthcare organization registered as an assisted living, mental illness in Eden Prairie, Minnesota and active in the NPI registry since May 2025. The organization lists Sandol Khalaf, Owner, as its authorized official.

NPPES Registry Identity

NPI1760274203

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameEDAN OAK LLC

Location Address6216 BAKER RDEden Prairie, MN 55346-1928

Mailing Address7400 Cedar Ave SMinneapolis, MN 55423-4647 · (612) 644-0643

Phone(612) 644-0643

Organization SubpartNo

Authorized OfficialSandol KhalafOwner · (612) 644-0643

Enumeration DateMay 20, 2025

NPPES CertifiedMay 19, 2025

✔ NPI 1760274203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedAssisted Living FacilityTaxonomy 310400000X

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X

6216 BAKER RD, Eden Prairie, MN 55346

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Other Names 1

Doing Business AsEdan Oak Assisted Living

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 Edan Oak LLC's NPI number?

The NPI number for Edan Oak LLC is 1760274203. It was assigned to this organization in the NPPES registry on May 20, 2025. The provider is doing business as Edan Oak assisted living.

Where is Edan Oak LLC located?

Edan Oak LLC is located at 6216 Baker Rd, Eden Prairie, MN 55346. The listed phone number is (612) 644-0643.

What is Edan Oak LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Edan Oak LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.