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NEW BEGININGS AT WAVERLY, LLC
NPI 1003914656
Substance Abuse Rehabilitation Facility in Waverly, MN

Active since September 20, 2006CLIA 24D0957658 · Waiver
109 N SHORE DR, WAVERLY, MN 55390(763) 658-5800(763) 658-1746 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Beginings At Waverly, Llc NPPES

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

NEW BEGININGS AT WAVERLY, LLC (NPI 1003914656) is a healthcare organization registered as a substance abuse rehabilitation facility in Waverly, Minnesota and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Brenda Griffin, Controller, as its authorized official.

NPPES Registry Identity

NPI1003914656
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNEW BEGININGS AT WAVERLY, LLC
Location Address109 N SHORE DRWaverly, MN 55390-5517
Mailing Address109 N Shore DrWaverly, MN 55390-5517 · (763) 658-5800 · Fax (763) 658-1746
Phone(763) 658-5800
Fax(763) 658-1746
Organization SubpartNo
Authorized OfficialBrenda GriffinController · (763) 658-5222
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003914656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MN · 1003743-1-CDT
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
109 N SHORE DR, Waverly, MN 55390
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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 24D0957658

New Beginnings At Waverly LLC Dba Eosis New Beginnings · Waverly, MN
Active · expires Feb 24, 2027
CLIA Number24D0957658
Laboratory TypeSud Treatment Facility
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorEmily Brunner
Laboratory Phone(612) 454-5000
Laboratory LocationNew Beginnings At Waverly LLC Dba Eosis New Beginnings109 North Shore Dr, Waverly, MN 55390
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

C10202017363071
Substance Abuse Rehabilitation Facility
109 N SHORE DR
WAVERLY, MN 55390
Wright County (763) 658-5800
MRS. CANDACE LATANYA HANSON M.A., LPCC
Counselor (Professional)
109 N SHORE DR
WAVERLY, MN 55390
Wright County (763) 658-5810
NEW BEGINNINGS WAVERLY LLC
Substance Abuse Rehabilitation Facility
109 N SHORE DR
WAVERLY, MN 55390
Wright County (763) 658-5800
NEW BEGINNINGS AT WAVERLY, LLC
Community/Behavioral Health
109 N SHORE DR
WAVERLY, MN 55390
Wright County (763) 658-5800

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 New Beginings At Waverly, LLC's NPI number?

The NPI number for New Beginings At Waverly, LLC is 1003914656. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is New Beginings At Waverly, LLC located?

New Beginings At Waverly, LLC is located at 109 N Shore Dr, Waverly, MN 55390. The listed phone number is (763) 658-5800.

What is New Beginings At Waverly, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does New Beginings At Waverly, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0957658) is associated with this NPI, valid through February 24, 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 New Beginings At Waverly, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.