HAVENWOOD OF RICHFIELD
NPI 1205587144
Assisted Living Facility in Richfield, MN

Active since January 12, 2022CLIA 24D2155140 · Waiver
245 W 76TH ST, RICHFIELD, MN 55423(612) 260-9393 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Havenwood Of Richfield NPPES

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

HAVENWOOD OF RICHFIELD (NPI 1205587144) is a healthcare organization registered as an assisted living facility in Richfield, Minnesota and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Laura Sims, President, as its authorized official.

NPPES Registry Identity

NPI1205587144
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOPHER (RICHFIELD) TRS LLC
Location Address245 W 76TH STRichfield, MN 55423-2225
Mailing Address245 W 76th StRichfield, MN 55423-2225 · (612) 260-9393
Organization SubpartNo
Authorized OfficialLaura SimsPresident · (214) 754-8623
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
NPI 1205587144 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.
245 W 76TH ST, Richfield, MN 55423

Other Names 1

Doing Business AsHavenwood Of Richfield

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2155140

Havenwood Of Richfield · Richfield, MN
Active · expires Sep 24, 2026
CLIA Number24D2155140
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorMichelle Ryan
Laboratory Phone(612) 286-8762
Laboratory LocationHavenwood Of Richfield245 West 76th Street, Richfield, MN 55423
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
245 W 76TH ST
RICHFIELD, MN 55423
Assisted Living Facility
245 W 76TH ST
RICHFIELD, MN 55423

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 Gopher (richfield) Trs LLC's NPI number?

The NPI number for Gopher (richfield) Trs LLC is 1205587144. It was assigned to this organization in the NPPES registry on January 12, 2022. The provider is doing business as Havenwood Of Richfield.

Where is Gopher (richfield) Trs LLC located?

Gopher (richfield) Trs LLC is located at 245 W 76th St, Richfield, MN 55423. The listed phone number is (612) 260-9393.

What is Gopher (richfield) Trs LLC's specialty?

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

Does Gopher (richfield) Trs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2155140) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gopher (richfield) Trs LLC was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.