AEGIS TREATMENT CENTERS, LLC
NPI 1326698887
Clinic/Center - Methadone in Eureka, CA

Active since September 17, 2019CLIA Certified · 2 labs
2107, 2109 & 2113 1ST ST, EUREKA, CA 95501(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 8, 2023, Apr 10, 2020, Sep 17, 2019 (3 updates tracked since 2019).

About Aegis Treatment Centers, Llc NPPES

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

AEGIS TREATMENT CENTERS, LLC (NPI 1326698887) is a healthcare organization registered as a methadone in Eureka, California and active in the NPI registry since September 2019. The organization holds 2 active CLIA laboratory certificates and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1326698887
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address2107, 2109 & 2113 1ST STEureka, CA 95501-0840
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Fax(818) 206-0379
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateSeptember 17, 2019
Last NPPES UpdateSeptember 17, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2023
NPI 1326698887 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.

2107, 2109 & 2113 1ST ST, Eureka, CA 95501

CLIA Laboratory Certificates CMS CLIA 2

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 05D2188913

Aegis Treatment Centers LLC · Eureka, CA
Active · expires Jul 22, 2028
CLIA Number05D2188913
Laboratory TypeNarctoic Treatment Pro
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorMichael J. Waring
Laboratory Phone(707) 273-6395
Laboratory LocationAegis Treatment Centers LLC2109 1st St, Eureka, CA 95501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2172617

Aegis Treatment Centers LLC · Eureka, CA
Active · expires Sep 24, 2027
CLIA Number05D2172617
Laboratory TypeNarcotic Treatment
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorMichael J. Waring
Laboratory Phone(707) 273-6395
Laboratory LocationAegis Treatment Centers LLC2113 1st Street, Eureka, CA 95501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
2,023 services62 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
57 services11 patients
Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a G2076
Intake activities involve a comprehensive medical examination and initial assessment. This is carried out by a program physician, a primary care doctor, or a qualified healthcare professional under their oversight. The process helps to understand your current health status and identify any potential health issues.
29 services26 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326698887, enumerated as an "organization" on September 17, 2019.

The provider is located at 2107, 2109 & 2113 1ST ST EUREKA, CA 95501 and the phone number is (800) 821-0775.

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