NEW BEGININGS AT WAVERLY LLC NPI 1003914656

NPI Information

  • NPI: 1003914656
  • Provider Name: NEW BEGININGS AT WAVERLY, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 109 N SHORE DR
    WAVERLY, MN
    ZIP 55390
  • Phone: (763) 658-5800

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NPI Details

NEW BEGININGS AT WAVERLY, LLC is a substance abuse rehabilitation facility in Waverly, MN. The provider is 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. NEW BEGININGS AT WAVERLY, LLC NPI is 1003914656. The provider is registered as an organization entity type.

The provider's business location address is:

109 N SHORE DR
WAVERLY, MN
ZIP 55390-517
Phone: (763) 658-5800
Fax: (763) 658-1746

The provider's authorized official is Brenda Griffin .
The authorized official title is Controller and has the following contact phone number (763) 658-5222.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility1003743-1-CDTMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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