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AEGIS TREATMENT CENTERS, LLC
NPI 1134699986
Clinic/Center - Methadone in Placerville, CA

Active since December 04, 2018CLIA 05D2162086 · Waiver
6390 RUNNYMEADE DR STE B, PLACERVILLE, CA 95667(800) 821-0775(818) 206-0379 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2023, Dec 4, 2018 (2 updates tracked since 2018).

About Aegis Treatment Centers, Llc NPPES

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

AEGIS TREATMENT CENTERS, LLC (NPI 1134699986) is a healthcare organization registered as a methadone in Placerville, California and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1134699986
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address6390 RUNNYMEADE DR STE BPlacerville, CA 95667-8623
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(800) 821-0775
Fax(818) 206-0379
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateDecember 4, 2018
Last NPPES UpdateSeptember 17, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2023
✔ NPI 1134699986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

6390 RUNNYMEADE DR STE B, Placerville, CA 95667
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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 05D2162086

Aegis Treatment Centers, LLC · Placerville, CA
Active · expires Feb 14, 2027
CLIA Number05D2162086
Laboratory TypeNarcotic Treatment
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorMichael J. Waring
Laboratory Phone(530) 291-5345
Laboratory LocationAegis Treatment Centers, LLC6390 Runnymeade Dr, Ste B, Placerville, CA 95667
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SCOTT C HALE DOCTOR OF CHIROPRACTICS A PROFESSIONAL CORP
Chiropractor (Sports Physician)
6390 RUNNYMEADE DR STE B
PLACERVILLE, CA 95667
El Dorado County (530) 622-3600
DANIELLE ASHLEY CALVILLO
Licensed Vocational Nurse
6390 RUNNYMEADE DR STE B
PLACERVILLE, CA 95667
El Dorado County (530) 291-5345
MRS. SARHA AMANDA MCDANIEL LPN
Licensed Vocational Nurse
6390 RUNNYMEADE DR STE B
PLACERVILLE, CA 95667
El Dorado County (530) 291-5345

Frequently Asked Questions

What is AEGIS TREATMENT CENTERS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1134699986, enumerated as an "organization" on December 04, 2018.

Where is the provider located?

The provider is located at 6390 RUNNYMEADE DR STE B PLACERVILLE, CA 95667 and the phone number is (800) 821-0775.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.