El-Shaddai Assisted Living Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

EL-SHADDAI ASSISTED LIVING INC

Practice address

2566 112TH Ave NW
Coon Rapids, MN 55433-3562

Phone

(612) 735-3136

NPI assigned

Aug 26, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chaltu Rabu

Title

Owner/Manager

Phone

(612) 735-3136

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1063329985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 112TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333562",
            "telephone_number": "612-735-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 112TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333562",
            "telephone_number": "612-735-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL-SHADDAI ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "RABU",
        "authorized_official_first_name": "CHALTU",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-735-3136"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Eggimann, OD
• William M Ehrhardt, MD
• Ruth Eilts
• Mohamed E El Deeb, DDS DOS MS
• El Roi Health Services LLC
• Eleos Home Care LLC
• Ziyad Abdel-Fattah Elewa, LAT, ATC
• Mark A Elias, MD
• Scott Charles Elkerton, LICSW
• Ruth Karin Ellerbroek, LMFT

• Assisted Living Facility (Behavioral Disturbances) in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Assisted Living Facility (Behavioral Disturbances) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.