C10202017363071
NPI 1134630734
Substance Abuse Rehabilitation Facility in Waverly, MN

NPI Status: Active since October 23, 2017

Contact Information

109 N SHORE DR
WAVERLY, MN
ZIP 55390
Phone: (763) 658-5800
Fax: (763) 658-4128

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance

About C10202017363071

This page provides the complete NPI Profile along with additional information for C10202017363071, a provider established in Waverly, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1134630734 assigned on October 2017. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Lewis P Zeidner Phd (Ceo)

NPI
1134630734
Provider Legal Name
C10202017363071
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
109 N SHORE DR WAVERLY, MN 55390
Location Phone
(763) 658-5800
Location Fax
(763) 658-4128
Mailing Address
C/O MERIDIAN BEHAVIORAL HEALTH #190 550 MAIN STREET NEW BRIGHTON, MN 55112
Mailing Phone
(612) 454-2046
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2017
Last Update Date
02-21-2025
Code Navigator

Location Map

Secondary Locations

  • NEW BEGINNINGS MINNESOTA - ST PETER 320 SUNRISE DRIVE; SUITE B
    ST. PETER, MN 56082
    (507) 931-0918
  • NEW BEGINNINGS LITCHFIELD 114 NORTH HOLCOMBE
    LITCHFIELD, MN 55355
    (320) 693-2461
  • NEW BEGINNINGS WORTHINGTON 1530 AIRPORT ROAD; SUITE 200
    WORTHINGTON, MN 56187
    (507) 376-3916
  • 7300 Estes Ave SW
    Waverly, MN 55390
    (763) 658-5800
  • 105 S 5th St
    Olivia, MN 56277
    (612) 590-7988
  • NEW BEGINNINGS ELK RIVER 19230 EVANS ST. Ste. 203
    ELK RIVER, MN 55330
    (763) 658-5800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEWIS P ZEIDNER PHD

Authorized Official Title
CEO
Authorized Official Phone
(763) 245-8278

Reviews for C10202017363071

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134630734, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 2 + 3 + 0 + 7 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1134630734.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Community/Behavioral Health
109 N SHORE DR
WAVERLY, MN 55390
Counselor (Professional)
109 N SHORE DR
WAVERLY, MN 55390
Substance Abuse Rehabilitation Facility
109 N SHORE DR
WAVERLY, MN 55390
Substance Abuse Rehabilitation Facility
109 N SHORE DR
WAVERLY, MN 55390

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134630734, enumerated as an "organization" on October 23, 2017.

The provider is located at 109 N SHORE DR WAVERLY, MN 55390 and the phone number is (763) 658-5800.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.