C10202017363071
NPI 1134630734 · Substance Abuse Rehabilitation Facility · Waverly, MN
C10202017363071 is a Substance Abuse Rehabilitation Facility organization in Waverly, MN (NPI 1134630734).
Provider details
- NPI number
- 1134630734
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lewis Zeidner, Ceo(763) 245-8278
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Eosis
Additional practice locations (6)
- New Beginnings Elk River19230 Evans St. Ste. 203Elk River, MN 55330Phone: (763) 658-5800Fax: (763) 658-4128
- New Beginnings Litchfield114 North HolcombeLitchfield, MN 55355Phone: (320) 693-2461Fax: (763) 658-4128
- 105 S 5th StOlivia, MN 56277-1374Phone: (612) 590-7988Fax: (763) 658-4128
- New Beginnings Minnesota - St Peter320 Sunrise Drive; Suite BSt. Peter, MN 56082Phone: (507) 931-0918Fax: (763) 658-4128
- New Beginnings Worthington1530 Airport Road; Suite 200Worthington, MN 56187Phone: (507) 376-3916Fax: (763) 658-4128
- 7300 Estes Ave SwWaverly, MN 55390-8432Phone: (763) 658-5800Fax: (763) 658-4128
Registry dates
- Enumerated
- 2017-10-23
- Last updated
- 2025-02-21
Frequently asked questions
- What is C10202017363071's NPI number?
- C10202017363071's National Provider Identifier (NPI) is 1134630734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is C10202017363071?
- C10202017363071 is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is C10202017363071 located?
- C10202017363071's practice location on file with NPPES is 109 N Shore Dr, Waverly, MN 55390.
- What is C10202017363071's phone number?
- The practice phone number listed in the NPPES registry for C10202017363071 is (763) 658-5800.
- Who is the authorized official for C10202017363071?
- The authorized official listed on C10202017363071's NPPES record is Lewis Zeidner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is C10202017363071's NPI active?
- Yes — C10202017363071's NPI (1134630734) is active in the NPPES registry as of the last update on 2025-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.