Havenworth Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAVENWORTH ASSISTED LIVING INC

Practice address

2717 Cedar LN
Burnsville, MN 55337-2105

Phone

(952) 212-3479

NPI assigned

Feb 23, 2026

Last updated

Feb 23, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamed Amin Jamal HassanNPI 1639710379

Title

Owner/Ceo

Phone

(952) 212-3479

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed Amin Jamal Hassan

  • Behavior Technician
  • Bloomington, MN
  • NPI 1639710379
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1073467551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 CEDAR LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372105",
            "telephone_number": "952-212-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 CEDAR LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372105",
            "telephone_number": "952-212-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENWORTH ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MOHAMED AMIN",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "952-212-3479"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby L Hatcher
• Jennifer Christine Hathaway
• Signe Grace Hauck
• Jonathan Michael Hauff, DPT
• Havenwood Care LLC
• Nasri Haybe
• Fartun Hayir
• Faisal Khalif Hayow
• Daniel Hayward, M.D.
• Heal Point LLC

• Assisted Living Facility in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.