Ebenezer Management Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

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

Organization subpart

Yes

Parent organization

EBENEZER MANAGEMENT SERVICESAs reported in NPPES

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Tax ID family

Ebenezer Management Services4 organizations share this tax ID, including this one

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.

• Ebenezer Management Services

  • Adult Day Care Clinic/Center
  • Hastings, MN
  • NPI 1225214869
  NPD tax ID
• Ebenezer Management Services

  • Assisted Living Facility
  • Wayzata, MN
  • NPI 1881005775
  NPD tax ID
• Hastings Daybreak

  • Adult Day Care Clinic/Center
  • Hastings, MN
  • NPI 1144476094
  NPD tax ID

Locations

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ebenezer Lakes Assisted Living

  • Skilled Nursing Facility
  • Wyoming, MN
  • NPI 1679916571

  Adp of the SNF, Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership
• Ebenezer Ridges

  • Skilled Nursing Facility
  • Burnsville, MN
  • NPI 1265433767

  5% Or Greater Indirect Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Ebenezer Society

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1184622870

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Edina Senior Living, LLC

  • Skilled Nursing Facility
  • Edina, MN
  • NPI 1669921912

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Itasca Nursing Home

  • Skilled Nursing Facility
  • Grand Rapids, MN
  • NPI 1184662793

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Jones Harrison Residence Corporation

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1699762195

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Martin LM LLC

  • Skilled Nursing Facility
  • Bloomington, MN
  • NPI 1629148929

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Mayo Clinic Health System-Lake City

  • Skilled Nursing Facility
  • Lake City, MN
  • NPI 1831130319

  Operational/Managerial Control

  CMS ownership

These 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

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": []
}

• Preston Drew Dorn
• Austyn Michael Dries
• Ellen Dorothy Dufresne
• Gordon Michael Dullin-Hess
• Sonya Eastham, LPCC
• Odia Anthony Ebojie
• Kathoucha Edouard, LCSW
• Alexandra Eernisse
• Jolize Eh
• Hailey Rae Einan

• All providers in Arden Hills, MN
• Long Term Care Pharmacy in Minnesota

• 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.

Verify at the official NPI Registry.