Minnesota : DHS		  
 
      
  
DHS is aware of a systems issue that is preventing some newly completed documents from posting as required. Hard copies of the documents are still being mailed to the affected parties. DHS is working with MNIT to resolve the systems issue.  This message will be removed when the issue has been resolved.
 
      
 


License Details

Basic license details.
Independent Haven Inc License status: Active
4100 THOMAS AVE N
Minneapolis, MN 55412
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(765) 999-7799
Hennepin County

License number: 1078569
License holder: Independent Haven, Inc.
License Holder Entity Identification Number(s): 5728113
License status: Active
Type of service: Home and Community Based Services
Initial effective date: August 14, 2015
Last renewed or updated on: July 25, 2025
Next renewal due: December 31, 2025


Licensed to provide

Basic Support Services:
24-hour emergency assistance
Night supervision
Individualized home supports

Intervention Support Services:
Positive supports

In-Home Support Services:
Semi-independent living skills
Individualized home supports with training
Individualized home supports with family training

Integrated Community Supports :
Integrated Community Supports

Restrictions: None

Satellite Locations
None

Additional information
Note: For additional information relating to providers who are licensed by an authority other than the Minnesota Department of Human Services, please contact the licensing authority directly. A directory of county agencies is online.

Public documents available for this license
Licensing Actions and Maltreatment Investigation Memorandums
Documents below appear for four years from the date of posting
Document type Date issued Format
None available for posting at this time. ------ ------


Human Services (DHS) licensing web page statement:

The information found on this web page is public information. Types of public information you will find on this website include:

  • Maltreatment investigation memorandum*
  • Licensing actions for license types other than family child foster care, including: conditional licenses, fines, revocations, indefinite suspensions, and temporary immediate suspensions (See the glossary of terms for an explanation of each type of licensing action.) Please note that licensing actions for family child foster care are public documents and available upon request from DHS.
  • Summary of reviews and investigations for family child care**
  • Decisions issued by DHS to appeals of violations cited on correction orders and conditional licenses
  • Final agency decisions for licensing actions
  • Correction Orders for license types other than family child care, child foster care, adult foster care, and family adult day service programs. Please note that correction orders are public documents and available upon request from DHS, the licensing county, or the licensing agency

*Maltreatment allegations involving a family child care or family child foster care program are conducted by the County in which the alleged incident occurred.

**Summary of reviews and investigations for all other provider types will be added in the future.

Determinations may be subject to appeal. Not all records related to the license are included on this web page. If you view information that you believe is not public, notify DHS Licensing Division immediately by calling (651) 431-6500.

Minnesota Department of Human Services website accessibility disclaimer: The Minnesota Department of Human Services has a policy of making the information on its websites accessible to people with disabilities. Pursuant to this commitment, DHS implements the provisions of the Americans with Disabilities Act and the Minnesota Human Rights Act. If you experience any difficulty accessing the content, call (651) 431-6500 or send an electronic mail message to DHS.LicensingDivision@state.mn.us to receive the subject matter in an alternative format. Indicate the nature of your accessibility problem, your preferred format, the license number of the facility, type and date of the document and your contact information so DHS can reach you with any questions in fulfilling your request.