NEW WATERS RECOVERY NORTH CAROLINA LLC
NPI 1407513534
Clinic/Center - Rehabilitation, Substance Use Disorder in Raleigh, NC

Active since November 23, 2021CLIA 34D2252372 · Waiver
3810 BLAND RD, RALEIGH, NC 27609(561) 632-0120 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Waters Recovery North Carolina Llc NPPES

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

NEW WATERS RECOVERY NORTH CAROLINA LLC (NPI 1407513534) is a healthcare organization registered as a rehabilitation, substance use disorder in Raleigh, North Carolina and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Justin Mclendon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407513534
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameNEW WATERS RECOVERY NORTH CAROLINA LLC
Location Address3810 BLAND RDRaleigh, NC 27609-6239
Mailing Address3810 Bland RdRaleigh, NC 27609-6239 · (561) 632-0120
Organization SubpartNo
Authorized OfficialJustin MclendonExecutive Director · (561) 632-0120
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1407513534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
3810 BLAND RD, Raleigh, NC 27609

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 34D2252372

New Waters Recovery North Carolina LLC · Raleigh, NC
Active · expires Feb 9, 2028
CLIA Number34D2252372
Laboratory TypeBehavioral Health Detox
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorHarold Hong
Laboratory Phone(561) 632-0120
Laboratory LocationNew Waters Recovery North Carolina LLC3810 Bland Rd, Raleigh, NC 27609
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
3810 BLAND RD
RALEIGH, NC 27609

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 Waters Recovery North Carolina LLC's NPI number?

The NPI number for New Waters Recovery North Carolina LLC is 1407513534. It was assigned to this organization in the NPPES registry on November 23, 2021.

Where is New Waters Recovery North Carolina LLC located?

New Waters Recovery North Carolina LLC is located at 3810 Bland Rd, Raleigh, NC 27609. The listed phone number is (561) 632-0120.

What is New Waters Recovery North Carolina LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does New Waters Recovery North Carolina LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2252372) is associated with this NPI, valid through February 9, 2028. 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 Waters Recovery North Carolina LLC was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.