MANASSAS ADDICTION CENTER LLC
NPI 1225692015
Clinic/Center - Rehabilitation, Substance Use Disorder in Manassas, VA

NPI Status: Active since April 26, 2019

Contact Information

9001 DIGGES RD STE 104
MANASSAS, VA
ZIP 20110
Phone: (703) 239-3602
Fax: (855) 888-8410

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder
CLIA Number: 49D2202946
CLIA Cert. Type: Practitioner Other
CLIA Exp. Date: 12-01-2026

About MANASSAS ADDICTION CENTER LLC

This page provides the complete NPI Profile along with additional information for Manassas Addiction Center Llc, a provider established in Manassas, Virginia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1225692015 assigned on April 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Nancye Lynn Sadler Np (President)

NPI: 1225692015
Provider Name: MANASSAS ADDICTION CENTER LLC
Entity Type: Organization
Location Address: 9001 DIGGES RD STE 104 MANASSAS, VA 20110
Location Phone: (703) 239-3602
Location Fax: (855) 888-8410
Mailing Address: 9001 DIGGES RD STE 104 MANASSAS, VA 20110
Mailing Phone: (703) 239-3602
Mailing Fax: (855) 888-8410
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-26-2019
Last Update Date: 07-23-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: NANCYE LYNN SADLER NP
Authorized Official Title: PRESIDENT
Authorized Official Phone: (703) 239-3602

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1508818790	MEDICAID (05)	VA
8951641	MEDICAID (05)	VA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 49D2202946
Facility Type: Practitioner Other
Certificate Effective Date: December 02, 2024
Certificate Expiration Date: December 01, 2026
Laboratory Director: NANCYE L. SADLER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Manassas Addiction Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	2	5	6	9	2	0	1	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	4	5	12	9	4	0	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 1 + 2 + 9 + 4 + 0 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1225692015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 7 providers are registered at the same or nearby location.

BARBARA J KIMMER-LYNCH FNP

Nurse Practitioner

(Family)