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HAVENWORTH ASSISTED LIVING INC
NPI 1073467551
Assisted Living Facility in Burnsville, MN

Active since February 23, 2026
2717 CEDAR LN, BURNSVILLE, MN 55337(952) 212-3479 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Havenworth Assisted Living Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVENWORTH ASSISTED LIVING INC (NPI 1073467551) is a healthcare organization registered as an assisted living facility in Burnsville, Minnesota and active in the NPI registry since February 2026. The organization lists Mohamed Amin Jamal Hassan, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1073467551
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHAVENWORTH ASSISTED LIVING INC
Location Address2717 CEDAR LNBurnsville, MN 55337-2105
Mailing Address2717 Cedar LnBurnsville, MN 55337-2105 · (952) 212-3479
Phone(952) 212-3479
Organization SubpartNo
Authorized OfficialMohamed Amin Jamal HassanOwner/ceo · (952) 212-3479
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1073467551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2717 CEDAR LN, Burnsville, MN 55337
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havenworth Assisted Living Inc's NPI number?

The NPI number for Havenworth Assisted Living Inc is 1073467551. It was assigned to this organization in the NPPES registry on February 23, 2026.

Where is Havenworth Assisted Living Inc located?

Havenworth Assisted Living Inc is located at 2717 Cedar Ln, Burnsville, MN 55337. The listed phone number is (952) 212-3479.

What is Havenworth Assisted Living Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Havenworth Assisted Living Inc was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.