Eden Health Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EDEN HEALTH CARE

Practice address

219 106TH Ave NW
Coon Rapids, MN 55448-5061

Phone

(612) 404-5110

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Mahamud Mahamed

Title

Director

Phone

(612) 404-5110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1548060296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3492 SAINT CHARLES PL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 106TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485061",
            "telephone_number": "612-404-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MAHAMED",
        "authorized_official_first_name": "MAHAMUD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-404-5110"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.