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AEGIS TREATMENT CENTERS, LLC
NPI 1376293407
Clinic/Center - Methadone in Banning, CA

Active since March 23, 2022CLIA 05D2279215 · Waiver
2781 W RAMSEY ST STE 3&4, BANNING, CA 92220(800) 821-0775(818) 206-0381 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aegis Treatment Centers, Llc NPPES

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

AEGIS TREATMENT CENTERS, LLC (NPI 1376293407) is a healthcare organization registered as a methadone in Banning, California and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1376293407
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address2781 W RAMSEY ST STE 3&4Banning, CA 92220-3700
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-1111
Phone(800) 821-0775
Fax(818) 206-0381
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1376293407 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.
2781 W RAMSEY ST STE 3&4, Banning, CA 92220
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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 05D2279215

Aegis Treatment Centers LLC · Banning, CA
Active · expires Mar 29, 2027
CLIA Number05D2279215
Laboratory TypeNarcotic Treatment
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorBarry N. Solof
Laboratory Phone(951) 417-6612
Laboratory LocationAegis Treatment Centers LLC2781 W Ramsey St, Ste 4, Banning, CA 92220
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DUSTIN JAMES WALKER EMERY
Counselor (Addiction (Substance Use Disorder))
2781 W RAMSEY ST STE 3&4
BANNING, CA 92220
Riverside County (951) 417-6612
COLLEEN CALLAHAN CADC II
Counselor (Addiction (Substance Use Disorder))
2781 W RAMSEY ST STE 3&4
BANNING, CA 92220
Riverside County (951) 417-6612
MRS. JENNIFER JANE HAYNES-CASEY LVN
Licensed Vocational Nurse
2781 W RAMSEY ST STE 3&4
BANNING, CA 92220
Riverside County (951) 417-6612
MS. SANDRA HUSKELHUS
Counselor (Addiction (Substance Use Disorder))
2781 W RAMSEY ST STE 3&4
BANNING, CA 92220
Riverside County (951) 417-6612
JAMES MERKEL CADC II
Counselor (Addiction (Substance Use Disorder))
2781 W RAMSEY ST STE 3&4
BANNING, CA 92220
Riverside County (951) 417-6612
SEAN MANZANO LPT
Licensed Psychiatric Technician
2781 W RAMSEY ST STE 3&4
BANNING, CA 92220
Riverside County (951) 417-6612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aegis Treatment Centers, LLC's NPI number?

The NPI number for Aegis Treatment Centers, LLC is 1376293407. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 2781 W Ramsey St Ste 3&4, Banning, CA 92220. The listed phone number is (800) 821-0775.

What is Aegis Treatment Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Aegis Treatment Centers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2279215) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aegis Treatment Centers, LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.