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C10202017363071
NPI 1134630734
Substance Abuse Rehabilitation Facility in Waverly, MN

Active since October 23, 2017
109 N SHORE DR, WAVERLY, MN 55390(763) 658-5800(763) 658-4128 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2025, Apr 5, 2019, Sep 25, 2018 and 3 more (6 updates tracked since 2017).

About C10202017363071 NPPES

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

C10202017363071 (NPI 1134630734), doing business as Eosis, is a healthcare organization registered as a substance abuse rehabilitation facility in Waverly, Minnesota and active in the NPI registry since October 2017. The organization maintains 6 additional practice locations and lists Lewis P Zeidner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134630734
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameC10202017363071
Location Address109 N SHORE DRWaverly, MN 55390
Mailing AddressC/o Meridian Behavioral Health #190, 550 Main StreetNew Brighton, MN 55112 · (612) 454-2046
Phone(763) 658-5800
Fax(763) 658-4128
Organization SubpartNo
Authorized OfficialLewis P ZeidnerCeo · (763) 245-8278
Enumeration DateOctober 23, 2017
Last NPPES UpdateFebruary 21, 20256 updates tracked since enumeration
✔ NPI 1134630734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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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Other Names 1

Doing Business AsEosis

Secondary Practice Locations 6

Location 1NEW BEGINNINGS LITCHFIELD, 114 NORTH HOLCOMBELITCHFIELD, MN 55355 · Phone (320) 693-2461 · Fax (763) 658-4128
Location 27300 Estes Ave SWWaverly, MN 55390-8432 · Phone (763) 658-5800 · Fax (763) 658-4128
Location 3NEW BEGINNINGS WORTHINGTON, 1530 AIRPORT ROAD; SUITE 200WORTHINGTON, MN 56187 · Phone (507) 376-3916 · Fax (763) 658-4128
Location 4NEW BEGINNINGS MINNESOTA - ST PETER, 320 SUNRISE DRIVE; SUITE BST. PETER, MN 56082 · Phone (507) 931-0918 · Fax (763) 658-4128
Location 5105 S 5th StOlivia, MN 56277-1374 · Phone (612) 590-7988 · Fax (763) 658-4128
Location 6NEW BEGINNINGS ELK RIVER, 19230 EVANS ST. Ste. 203ELK RIVER, MN 55330 · Phone (763) 658-5800 · Fax (763) 658-4128

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 5

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

NEW BEGININGS AT WAVERLY, LLC
Substance Abuse Rehabilitation Facility
109 N SHORE DR
WAVERLY, MN 55390
Wright County (763) 658-5800
WENDY WAGENER
Counselor (Addiction (Substance Use Disorder))
109 N SHORE DR
WAVERLY, MN 55390
Wright County (320) 543-5686
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 C10202017363071's NPI number?

The NPI number for C10202017363071 is 1134630734. It was assigned to this organization in the NPPES registry on October 23, 2017. The provider is doing business as Eosis.

Where is C10202017363071 located?

C10202017363071 is located at 109 N Shore Dr, Waverly, MN 55390. The listed phone number is (763) 658-5800.

What is C10202017363071's specialty?

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

What insurance does C10202017363071 accept?

Health plans from HealthPartners list C10202017363071 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for C10202017363071 was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.