VAIMAR SUITES LLC
NPI 1609499664
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Brooklyn Park, MN

Q: What is Vaimar Suites LLC's NPI number?

The NPI number for Vaimar Suites LLC is 1609499664. It was assigned to this organization in the NPPES registry on May 26, 2020.

Q: What is Vaimar Suites LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Q: When was this NPI record last updated?

The NPPES record for Vaimar Suites LLC was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 26, 2020CLIA 24D2223377 · Waiver

7900 DOUGLAS DR N, BROOKLYN PARK, MN 55443(763) 432-3008 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vaimar Suites Llc NPPES

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

VAIMAR SUITES LLC (NPI 1609499664) is a healthcare organization registered as an assisted living, behavioral disturbances in Brooklyn Park, Minnesota and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Martin S Mumbuwa, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1609499664

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameVAIMAR SUITES LLC

Location Address7900 DOUGLAS DR NBrooklyn Park, MN 55443-2046

Mailing Address4845 Ferncroft DrExcelsior, MN 55331-8750 · (952) 221-7318 · Fax (651) 521-4223

Phone(763) 432-3008

Organization SubpartNo

Authorized OfficialMartin S MumbuwaAdministrator/owner · (952) 221-7318

Enumeration DateMay 26, 2020

NPPES CertifiedMay 26, 2020

✔ NPI 1609499664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

7900 DOUGLAS DR N, Brooklyn Park, MN 55443

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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 24D2223377

Vaimar Suites LLC · Brooklyn Park, MN

Active · expires May 5, 2027

CLIA Number24D2223377

Laboratory TypeAssisted Living Facility

Certificate Effective DateMay 6, 2025

Certificate Expiration DateMay 5, 2027

Laboratory DirectorMartin S. Mumbuwa

Laboratory Phone(952) 221-7318

Laboratory LocationVaimar Suites LLC6050 68th Ave N, Brooklyn Park, MN 55429

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Vaimar Suites LLC's NPI number?

The NPI number for Vaimar Suites LLC is 1609499664. It was assigned to this organization in the NPPES registry on May 26, 2020.

Where is Vaimar Suites LLC located?

Vaimar Suites LLC is located at 7900 Douglas Dr N, Brooklyn Park, MN 55443. The listed phone number is (763) 432-3008.

What is Vaimar Suites LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Does Vaimar Suites LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2223377) is associated with this NPI, valid through May 5, 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 Vaimar Suites LLC was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.