Active NPI
Ebenezer Management Services Inc
- Long Term Care Pharmacy
- Arden Hills, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- EBENEZER MANAGEMENT SERVICES INC
- Practice address
- 1243 Red Fox Rd
Arden Hills, MN 55112-6943 - Phone
- (651) 364-2222
- Fax
- (651) 364-2234
- NPI assigned
- Feb 18, 2026
- Last updated
- Mar 11, 2026
- Organization subpart
- Yes
- Parent organization
- EBENEZER MANAGEMENT SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Jerome Bieurance
- Title
- Director of Pharmacy
- Phone
- (612) 986-7827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1243 Red Fox Rd
Arden Hills, MN 55112-6943
Mailing address
9796 Vale St NW
Coon Rapids, MN 55433-5546
Phone (612) 986-7827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260416002532 | MN | DME Supplier - Pharmacy | 5092817221 | Practice locations: Arden Hills, MN |
| O20260428002716 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092817221 | Practice locations: Arden Hills, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ebenezer Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Ebenezer Management Services
- Part of
- Ebenezer Management Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Hastings ADC - Day Break
- Adult Day Care Clinic/Center
- Hastings, MN
- NPI 1225214869
-
dba Ebenezer Home Care
- Assisted Living Facility
- Wayzata, MN
- NPI 1881005775
-
- Adult Day Care Clinic/Center
- Hastings, MN
- NPI 1144476094
Locations
1243 Red Fox Rd
Arden Hills, MN 55112
Phone (651) 364-2222
Ownership & related parties
All facility ownership & control disclosures 8
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ebenezer Ridges | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control Adp of the SNF |
Jan 1, 1976 Jan 1, 1976 Jan 29, 2025 |
| Jones Harrison Residence Corporation | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Jul 1, 2023 Jan 30, 2025 |
| Martin LM LLC | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2007 Jan 30, 2025 |
| Grand Village | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Oct 1, 2023 Jan 30, 2025 |
| Mayo Clinic Health System-Lake City | Skilled nursing facility | Operational/Managerial Control | Oct 25, 2005 |
| Ebenezer Integrated Care & Rehab | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2022 Jan 30, 2025 |
| Meadows on Fairview | Skilled nursing facility | Operational/Managerial Control Adp of the SNF Indirect Ownership Interest |
Jan 1, 2018 Jan 29, 2025 Jan 1, 2018 |
| Aurora on France | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Jun 1, 2015 Jan 30, 2025 |
Owned or controlled facilities with NPI records 8
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Meadows on Fairview
- Skilled Nursing Facility
- Wyoming, MN
- NPI 1679916571
Adp of the SNF, Indirect Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Burnsville, MN
- NPI 1265433767
5% Or Greater Indirect Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Ebenezer Care Center
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1184622870
Adp of the SNF, Operational/Managerial Control
-
dba Aurora on France
- Skilled Nursing Facility
- Edina, MN
- NPI 1669921912
Adp of the SNF, Operational/Managerial Control
-
dba Grand Village
- Skilled Nursing Facility
- Grand Rapids, MN
- NPI 1184662793
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1699762195
Adp of the SNF, Operational/Managerial Control
-
dba Martin Luther Care Center
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1629148929
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Lake City, MN
- NPI 1831130319
Operational/Managerial 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, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Coon Rapids, MN
- NPI 1205178852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1962355073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9796 VALE ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335546",
"telephone_number": "612-986-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 RED FOX RD",
"city": "ARDEN HILLS",
"state": "MN",
"postal_code": "551126943",
"telephone_number": "651-364-2222",
"fax_number": "651-364-2234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBENEZER MANAGEMENT SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EBENEZER MANAGEMENT SERVICES",
"enumeration_date": "2026-02-18",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "BIEURANCE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "612-986-7827"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arden Hills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.