OrganizationActive
Ebenezer Management Services Inc
NPI 1962355073 · Long Term Care Pharmacy · Arden Hills, MN
Provider details
- NPI number
- 1962355073
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Ebenezer Management Services
- Organization subpart
- Yes
- Authorized official
- Daniel Bieurance, Director of Pharmacy(612) 986-7827
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1243 Red Fox Rd
Arden Hills, MN 55112-6943
Phone: (651) 364-2222
Fax: (651) 364-2234
Street-level locationGet directions
Mailing address
9796 Vale St Nw
Coon Rapids, MN 55433-5546
Registry dates
- Enumerated
- 2026-02-18
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.