HAVENWOOD OF BURNSVILLE
NPI 1275284101
Assisted Living Facility in Burnsville, MN
About Havenwood Of Burnsville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAVENWOOD OF BURNSVILLE (NPI 1275284101) is a healthcare organization registered as an assisted living facility in Burnsville, Minnesota and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Laura Sims, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 24D2173455
Havenwood Of Burnsville · Burnsville, MNFrequently 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 (burnsville) Trs LLC's NPI number?
The NPI number for Gopher (burnsville) Trs LLC is 1275284101. It was assigned to this organization in the NPPES registry on January 12, 2022. The provider is doing business as Havenwood Of Burnsville.
Where is Gopher (burnsville) Trs LLC located?
Gopher (burnsville) Trs LLC is located at 14401 Grand Ave, Burnsville, MN 55306. The listed phone number is (612) 439-2510.
What is Gopher (burnsville) Trs LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Gopher (burnsville) Trs LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2173455) is associated with this NPI, valid through October 13, 2027. 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 (burnsville) 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.
# Havenwood Of Burnsville · NPI 1275284101
Assisted Living Facility organization in Burnsville, Minnesota. Organization record, active in the CMS NPPES registry since January 12, 2022.
## Identity
- **NPI:** 1275284101 (Entity type: Organization)
- **Enumerated:** January 12, 2022
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Gopher (burnsville) Trs Llc
- **Organization subpart:** No
- **Authorized official:** Laura Sims, PRESIDENT
## Practice location
- **Address:** 14401 GRAND AVE, Burnsville, MN 55306-5709
- **Phone:** (612) 439-2510
## Record status
- **NPPES last updated:** January 12, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275284101) · Data from the CMS NPPES public registry.