TRUSTED HAVEN ASSISTED LIVING LLC
NPI 1487476503
Assisted Living Facility in Brooklyn Center, MN
About Trusted Haven Assisted Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRUSTED HAVEN ASSISTED LIVING LLC (NPI 1487476503) is a healthcare organization registered as an assisted living facility in Brooklyn Center, Minnesota and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Chinedu Agbonghai, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2326605
Trusted Haven Assisted Living LLC · Brooklyn Center, 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 Trusted Haven Assisted Living LLC's NPI number?
The NPI number for Trusted Haven Assisted Living LLC is 1487476503. It was assigned to this organization in the NPPES registry on October 29, 2024.
Where is Trusted Haven Assisted Living LLC located?
Trusted Haven Assisted Living LLC is located at 5754 Humboldt Ave N, Brooklyn Center, MN 55430. The listed phone number is (612) 447-8396.
What is Trusted Haven Assisted Living LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Trusted Haven Assisted Living LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2326605) is associated with this NPI, valid through July 7, 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 Trusted Haven Assisted Living LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Trusted Haven Assisted Living Llc · NPI 1487476503
Assisted Living Facility organization in Brooklyn Center, Minnesota. Organization record, active in the CMS NPPES registry since October 29, 2024.
## Identity
- **NPI:** 1487476503 (Entity type: Organization)
- **Enumerated:** October 29, 2024
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Chinedu Agbonghai, CO-OWNER
## Practice location
- **Address:** 5754 HUMBOLDT AVE N, Brooklyn Center, MN 55430-2636
- **Phone:** (612) 447-8396
## Record status
- **NPPES last updated:** October 29, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487476503) · Data from the CMS NPPES public registry.