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HAVENWOOD OF BUFFALO
NPI 1770234601
Assisted Living Facility in Buffalo, MN

Active since January 12, 2022CLIA 24D2182018 · Waiver
150 DIVISION ST E, BUFFALO, MN 55313(612) 439-2510 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Havenwood Of Buffalo NPPES

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

HAVENWOOD OF BUFFALO (NPI 1770234601) is a healthcare organization registered as an assisted living facility in Buffalo, Minnesota and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Laura Sims, President, as its authorized official.

NPPES Registry Identity

NPI1770234601
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOPHER (BUFFALO) TRS LLC
Location Address150 DIVISION ST EBuffalo, MN 55313-5132
Mailing Address150 Division St EBuffalo, MN 55313-5132 · (612) 439-2510
Phone(612) 439-2510
Organization SubpartNo
Authorized OfficialLaura SimsPresident · (214) 754-8623
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1770234601 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.
150 DIVISION ST E, Buffalo, MN 55313
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Other Names 1

Doing Business AsHavenwood Of Buffalo

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 24D2182018

Havenwood Of Buffalo · Buffalo, MN
Active · expires Apr 14, 2028
CLIA Number24D2182018
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorEva J. Hook
Laboratory Phone(612) 439-2510
Laboratory LocationHavenwood Of Buffalo150 Division Street East, Buffalo, MN 55313
CLIA data matches this NPI record on: Address 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 Gopher (buffalo) Trs LLC's NPI number?

The NPI number for Gopher (buffalo) Trs LLC is 1770234601. It was assigned to this organization in the NPPES registry on January 12, 2022. The provider is doing business as Havenwood Of Buffalo.

Where is Gopher (buffalo) Trs LLC located?

Gopher (buffalo) Trs LLC is located at 150 Division St E, Buffalo, MN 55313. The listed phone number is (612) 439-2510.

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

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

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

Yes. A Certificate of Waiver (number 24D2182018) is associated with this NPI, valid through April 14, 2028. 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 (buffalo) 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.