Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edan Oak LLC

Organization Assisted Living Facility · NPI 1760274203

Edan Oak LLC is an Assisted Living Facility in Eden Prairie, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6216 Baker Rd
Eden Prairie, MN 55346-1928
Phone: (612) 644-0643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X
Assisted Living Facility Taxonomy 310400000X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X

Record details

NPI number1760274203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandol Khalaf — Owner · (612) 644-0643
Other names Edan Oak Assisted Living
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 19, 2025
Mailing address7400 Cedar Ave S, Minneapolis, MN 55423-4647

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