NPIMap

Organization Active NPI

Edina Senior Living, LLC

  • Skilled Nursing Facility
  • Edina, MN
National Provider Identifier
1669921912
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EDINA SENIOR LIVING, LLC
Practice address
6500 France Ave S
Edina, MN 55435-1703
Phone
(952) 848-8888
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Mr. Mark Thomas
Title
Ceo
Phone
(612) 874-3460

Specialties & licenses 1

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

Addresses

Primary practice location

6500 France Ave S
Edina, MN 55435-1703

Mailing address

6500 France Ave S
Edina, MN 55435-1703
Phone (952) 848-8888

Other identifiers 1

IdentifierTypeStateIssuer
741852MedicaidMN

Other names 1

  • Aurora on France Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161004003060 MN Part A Provider - Skilled Nursing Facility 7719275890 Practice locations: Edina, MN

Skilled nursing facility certification: CCN 245634

Legal name
EDINA SENIOR LIVING LLC
Doing business as
AURORA ON FRANCE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 5, 2017
Last certification
Jun 20, 2024
Beds
65
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Ebenezer Society
Organization structure
LLCProprietary
Incorporated
Nov 20, 2014 in MN
Enrollment address
6500 France Ave S
Edina, MN 55435-1700
Nursing home name
AURORA ON FRANCE
Affiliated entity
EBENEZER SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aurora on FranceCCN 245634
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 5, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6558.2 residents per day on average
Chain
Ebenezer Senior Living6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Aurora on France2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Susan Carlson-Weinberg Individual Corporate DirectorBoard Member May 31, 2019
Yasser Chebli Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Apr 21, 2025
Carolyn Jacobson Individual Corporate OfficerBoard Member Oct 1, 2017
Brett Anderson Individual Corporate OfficerPresident & Ceo Sep 5, 2024
Trustee of the SNF Sep 5, 2024
James Hereford Individual Corporate OfficerBoard Member Aug 1, 2017
Todd Willett Individual Corporate OfficerChief Financial Officer Oct 24, 2018
Trustee of the SNF Oct 24, 2016
Ebenezer Management Services Inc Organization, Minneapolis, MN Corporation, Management services company, For-profit Operational/Managerial Control Jun 1, 2015 100%
Adp of the SNF Jan 30, 2025
Scott Wordelman Individual Corporate DirectorBoard Member Aug 24, 2017
Margaret Milius Individual Corporate DirectorBoard Member Feb 21, 2024
Robert Walker Individual Corporate DirectorBoard Member May 31, 2022
Mark Landreville Individual Corporate DirectorBoard Member Feb 21, 2024
Kenneth Piper Individual Corporate DirectorBoard Member May 31, 2022
Managing Control - Governing Body May 31, 2022
Kim Faust Individual Corporate DirectorBoard Member Sep 21, 2021
Ebenezer Society Organization, Minneapolis, MN Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Dec 31, 2022 100%
Anna Olinger Individual Operational/Managerial Control Mar 11, 2024
Adp of the SNF Apr 21, 2025
Gayle Kvenvold Individual Corporate DirectorBoard Member May 23, 2024
Brittany Bell Individual Operational/Managerial Control Sep 6, 2021
Trustee of the SNF Sep 6, 2021

Owners & managing parties with NPI records 3

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 1

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": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1669921912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351703",
            "telephone_number": "952-848-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351703",
            "telephone_number": "952-848-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINA SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-874-3460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741852",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora on France",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.