NEW BEGININGS AT WAVERLY, LLC (NPI# 1003914656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003914656 |
Entity Type | Organization |
Organization Name | NEW BEGININGS AT WAVERLY, LLC |
Practice Address |
109 N Shore Dr Waverly MN 55390-5517 |
Practice Telephone | 7636585800 |
Practice Fax Number | 7636581746 |
Mailing Telephone | 7636585800 |
Mailing Fax Number | 7636581746 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. BRENDA GRIFFIN (CONTROLLER) |
Authorized Official Telephone | 7636585222 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 1003743-1-CDT | MN | Residential Treatment Facilities |
Street Address |
109 N SHORE DR |
City | WAVERLY |
State | MN |
Zip Code | 55390-5517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134630734 | New Beginnings Minnesota LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390 | 2017-10-23 |
1386155901 | New Beginnings Waverly LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390-5517 | 2017-10-23 |
1376089532 | Candace Latanya Hanson | Counselor | 109 N Shore Dr, Waverly, MN 55390-5517 | 2017-01-12 |
1831413921 | New Beginnings At Waverly, LLC | Community/Behavioral Health | 109 N Shore Dr, Waverly, MN 55390-5517 | 2010-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255728366 | Doty Mosford | Homeopath | 505 Maple Ave, Waverly, MN 55390 | 2015-04-16 |
1831227214 | Adjust To Wellness, Pllc | Chiropractor | 202 5t Street N, Waverly, MN 55390 | 2007-02-28 |
1881721538 | Sarah Suzann Bartosch | Chiropractor | 202 5th Street N, Waverly, MN 55390 | 2007-02-28 |
1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
1831590124 | Andrea Zitzloff | Massage Therapist | 5258 20th St Sw, Waverly, MN 55390-5024 | 2014-09-06 |
1033556576 | April Marie Westermann | Physical Therapy Assistant | 4875 25th St Sw, Waverly, MN 55390-5025 | 2013-05-23 |
1336469774 | Cindy Grangroth | Respite Care | 5244 25th St Sw, Waverly, MN 55390-5025 | 2010-06-08 |
1053779769 | Amanda Decker | Licensed Practical Nurse | 3102 25th St Sw, Waverly, MN 55390-5043 | 2016-02-09 |
1225427354 | Timarie Leahy | Registered Nurse | 3664 Clementa Ave Sw, Waverly, MN 55390-5404 | 2015-01-13 |
1972099240 | New Beginnings Waverly LLC | Substance Abuse Rehabilitation Facility | 7300 Estes Ave Sw, Waverly, MN 55390-8432 | 2018-07-10 |
Find all providers in zip 55390 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
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. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972099240 | New Beginnings Waverly LLC | Substance Abuse Rehabilitation Facility | 7300 Estes Ave Sw, Waverly, MN 55390-8432 | 2018-07-10 |
1619006848 | Gateway Behavioral Health Services | Substance Abuse Rehabilitation Facility | 299 Honey Creek Episcoapal Conference Center Road, Waverly, GA 31565 | 2007-03-05 |
1134630734 | New Beginnings Minnesota LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390 | 2017-10-23 |
1386155901 | New Beginnings Waverly LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390-5517 | 2017-10-23 |
1104286475 | The Recovery Council | Substance Abuse Rehabilitation Facility | 218 E North St, Waverly, OH 45690-1148 | 2016-03-01 |
1659444388 | Marworth | Substance Abuse Rehabilitation Facility | Lily Lake Rd, Waverly, PA 18471 | 2006-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on NEW BEGININGS AT WAVERLY, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.