Edenbrook Rochester West LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EDENBROOK ROCHESTER WEST LLC

Practice address

2215 Highway 52 N
Rochester, MN 55901-7657

Phone

(773) 825-3336

NPI assigned

Sep 10, 2024

Organization subpart

No

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

Authorized official

Name

Max Stesel

Title

Manager

Phone

(773) 825-3336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Skilled nursing facility certification: CCN 245306

Legal name

EDENBROOK ROCHESTER WEST LLC

Doing business as

EDENBROOK ROCHESTER WEST

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1986

Last certification

Oct 23, 2024

Beds

48

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

2215 Highway 52 N
Rochester, MN 55901-7657

Nursing home name

EDENBROOK ROCHESTER WEST

Affiliated entity

EDEN SENIOR CARE

Listed as

Edenbrook Rochester WestCCN 245306 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4827.8 residents per day on average

Chain

Eden Senior Care21 facilities in the chain

Penalties (3 years)

1Fines totaling $14,518

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Gregory J Hanson, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, MN
  • NPI 1598742306

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory J Hanson, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, MN
  • NPI 1598742306
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hillary Moen Fitzgerald, MD

  • Family Medicine Physician
  • Rochester, MN
  • NPI 1538522297

  Nursing home

  Care Compare affiliation
• Gregory J Hanson, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, MN
  • NPI 1598742306

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1013743731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 112",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762914",
            "telephone_number": "773-825-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 HIGHWAY 52 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017657",
            "telephone_number": "773-825-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENBROOK ROCHESTER WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "STESEL",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-825-3336"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ed Patton LLC.
• Gregory Eddy, APRN, CRNA
• Jonathan Christopher Edel, M.D.
• Eric Scott Edell, M.D.
• Katherine B Edell
• Edge Medical Services
• Edge Medical Services
• Wendy Edlund, MD
• Madalyn Kai Edmonds, PHARMD
• Alexander Senu Edorh

• Skilled Nursing Facility in Rochester, MN
• Providers in Rochester, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.