El Shaddai Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EL SHADDAI CENTER LLC

Practice address

152 Page St W
Saint Paul, MN 55107-3411

Phone

(651) 621-9300

NPI assigned

Aug 25, 2025

Last updated

Aug 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Mehari

Title

Owner

Phone

(651) 621-9300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1245118694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 PAGE ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 PAGE ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073411",
            "telephone_number": "651-621-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADDAI CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "MEHARI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-621-9300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ekegren
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• El Camino LLC
• Charbel El Kosseifi, MD
• El Solutions LLC (EL Medical Billing Solutions)
• Samy El-Halawani, D.O.
• Marie Marie Elaine, LICSW
• Erica Elam, DPT
• Michael Frederick Elbing, STUDENT

• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.