NPIMap

Organization Active NPI

Auburn Manor

  • Skilled Nursing Facility
  • Chaska, MN
National Provider Identifier
1184609448
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328871 Issued in MN
Legal business name
AUBURN MANOR
Practice address
501 N Oak St
Chaska, MN 55318-2072
Phone
(952) 448-9303
Fax
(952) 361-0305
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Julie Anne Marks
Title
Cfo
Phone
(920) 261-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328871 MN Primary

Addresses

Primary practice location

501 N Oak St
Chaska, MN 55318-2072

Mailing address

1045 Hill St
Watertown, WI 53098-3001
Phone (952) 448-9303

Other identifiers 1

IdentifierTypeStateIssuer
422243100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031022000019 MN Part A Provider - Skilled Nursing Facility 9335051176 Practice locations: Chaska, MN

Skilled nursing facility certification: CCN 245604

Legal name
AUBURN MANOR
Doing business as
AUBURN HOMES AND SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1992
Last certification
Feb 6, 2025
Beds
60
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
May 24, 1926 in MN
Enrollment address
501 N Oak Street
Chaska, MN 55318-2072
Nursing home name
AUBURN MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Auburn ManorCCN 245604
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6044.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Auburn Courts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Matthew R Mauthe Individual Corporate OfficerCeo Jun 29, 2023
Operational/Managerial Control Jun 29, 2023
Adp of the SNF Jun 29, 2023
Todd Fischer Individual Corporate DirectorBoard Chair Mar 1, 2023
Jill Sandau Individual Corporate DirectorBoard of Directors Jan 22, 2016
Chris J Johnson Individual Operational/Managerial Control Nov 1, 2020
Adp of the SNF Nov 1, 2020
Dale Buemer Individual Corporate DirectorBoard of Directors Jan 25, 2018
Illuminus Inc Organization, Watertown, WI Corporation, Management services company, Non-profit Operational/Managerial Control Jun 29, 2023
Adp of the SNF Sep 23, 2025
Scott Dettman Individual Corporate DirectorSecretary/Treasurer Mar 1, 2023
Bruce Shoger Individual Corporate OfficerBoard Chair Nov 15, 2012
Kevin Kohlhoff Individual Corporate DirectorDirector Sep 1, 2023
Moravian Care Ministries Organization, Chaska, MN Corporation, Non-profit Operational/Managerial Control Sep 10, 1993
Daniel Hokeness Individual Corporate DirectorVice Chair Jan 23, 2014
Jennifer Hall Individual Operational/Managerial Control Nov 29, 2021
Adp of the SNF Jan 28, 2025
Robert Meidenbauer Individual Corporate DirectorVice Chair Mar 1, 2023
Arvin Zwart Individual Corporate DirectorTreasurer, Board of Directors Jan 1, 2009
Dennis Konkol Individual Corporate DirectorDirector Oct 1, 2024
Steven Heroux Individual Corporate DirectorDirector Mar 1, 2023
Steven Battis Individual Corporate DirectorSecretary Jan 22, 2013
Lynne Wagner Individual Corporate DirectorDirector Oct 1, 2024
Julie Marks Individual Corporate OfficerInterim Cfo Jun 9, 2025
Operational/Managerial Control Jun 9, 2025
Adp of the SNF Jun 9, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1184609448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 HILL ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983001",
            "telephone_number": "952-448-9303",
            "fax_number": "952-361-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N OAK ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182072",
            "telephone_number": "952-448-9303",
            "fax_number": "952-361-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-261-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422243100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.