OrganizationActive
New Beginings at Waverly, LLC
NPI 1003914656 · Substance Abuse Rehabilitation Facility · Waverly, MN
Provider details
- NPI number
- 1003914656
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brenda Griffin, Controller(763) 658-5222
- License
- 1003743-1-CDT (MN)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 N Shore Dr
Waverly, MN 55390-5517
Phone: (763) 658-5800
Fax: (763) 658-1746
Street-level locationGet directions
Mailing address
109 N Shore Dr
Waverly, MN 55390-5517
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.