Edan Oak LLC
NPI 1760274203 · Assisted Living Facility (Mental Illness) · Eden Prairie, MN
Edan Oak LLC is a Assisted Living Facility (Mental Illness) organization in Eden Prairie, MN (NPI 1760274203).
Provider details
- NPI number
- 1760274203
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sandol Khalaf, Owner(612) 644-0643
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Edan Oak Assisted Living
Registry dates
- Enumerated
- 2025-05-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-19
Frequently asked questions
- What is Edan Oak LLC's NPI number?
- Edan Oak LLC's National Provider Identifier (NPI) is 1760274203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edan Oak LLC?
- Edan Oak LLC is classified in the NPPES registry as Assisted Living Facility (Mental Illness) (Nursing & Custodial Care Facilities).
- Where is Edan Oak LLC located?
- Edan Oak LLC's practice location on file with NPPES is 6216 Baker Rd, Eden Prairie, MN 55346-1928.
- What is Edan Oak LLC's phone number?
- The practice phone number listed in the NPPES registry for Edan Oak LLC is (612) 644-0643.
- Who is the authorized official for Edan Oak LLC?
- The authorized official listed on Edan Oak LLC's NPPES record is Sandol Khalaf, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edan Oak LLC's NPI active?
- Yes — Edan Oak LLC's NPI (1760274203) is active in the NPPES registry as of the last update on 2025-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.