RS EDEN – Substance Abuse Rehabilitation Facility, NPI 1063590214
Substance Abuse Rehabilitation Facility
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RS EDEN
444 Lynnhurst Ave W
Saint Paul, MN 551043407
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
1362 7th St W
Saint Paul, MN 551024206
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
357 Oneida St
Saint Paul, MN 551023642
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
822 S 3rd St Ste 100
Minneapolis, MN 554151200
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
4527 Hiawatha Ave
Minneapolis, MN 554064492
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
818 S 3rd St
Minneapolis, MN 554151418
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
1360 7th St W
Saint Paul, MN 551024255
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
855 W 7th St
Saint Paul, MN 551023601
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
532 Ashland Ave
Saint Paul, MN 551022008
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
2310 Portland Ave
Minneapolis, MN 554043739
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
2728 Portland Ave
Minneapolis, MN 554071013
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
719 E 16th St
Minneapolis, MN 554041987
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
3210 Lyndale Ave N
Minneapolis, MN 554122563
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
3218 Lyndale Ave N
Minneapolis, MN 554122559
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
1828 Central Ave NE
Minneapolis, MN 554184541
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
1829 Portland Ave
Minneapolis, MN 554041812
Phone: (612) 217-1667
Fax: (612) 287-1616
Type: Location
614 E Grant St
Minneapolis, MN 554041431
Phone: (612) 338-0723
Fax: (612) 338-3653
Type: Location
1931 W Broadway Ave Ste 101
Minneapolis, MN 554112469
Phone: (612) 287-1600
Fax: (612) 287-1616
Type: Location
1931, West Broadway Avenue, Willard-Hay, Near North, Minneapolis, Hennepin County, Minnesota, 55411, United States
SUITE 101
MINNEAPOLIS, MN 554112400
Phone: (612) 287-1600
Fax: (612) 287-1616
Type: Mailing
1025, Portland Avenue South, Elliot Park, Central, Minneapolis, Hennepin County, Minnesota, 55404, United States
MINNEAPOLIS, MN 554041449
Phone: (612) 338-0723
Fax: (612) 338-3653
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (20 days away).
Enrollment records
1
Earliest due date
2026-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210420000989 | O | Independent Clinical Laboratory | MN | 2026-06-30 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55104)
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