HAVENWOOD OF MINNETONKA
NPI 1497406334
Assisted Living Facility in Minnetonka, MN
About Havenwood Of Minnetonka NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAVENWOOD OF MINNETONKA (NPI 1497406334) is a healthcare organization registered as an assisted living facility in Minnetonka, Minnesota and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 18, 2026 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 24D2159537
Havenwood Of Minnetonka · Minnetonka, MNOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNETONKA, MN 55345
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 (minnetonka) Trs LLC's NPI number?
The NPI number for Gopher (minnetonka) Trs LLC is 1497406334. It was assigned to this organization in the NPPES registry on January 12, 2022. The provider is doing business as Havenwood Of Minnetonka.
Where is Gopher (minnetonka) Trs LLC located?
Gopher (minnetonka) Trs LLC is located at 17710 Old Excelsior Blvd, Minnetonka, MN 55345. The listed phone number is (952) 209-1440.
What is Gopher (minnetonka) Trs LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Gopher (minnetonka) Trs LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2159537) is associated with this NPI, valid through December 18, 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 (minnetonka) 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.
