AEGIS TREATMENT CENTERS, LLC
NPI 1750192779
Clinic/Center - Methadone in Crescent City, CA

Active since January 17, 2025CLIA 05D2331642 · Waiver
1070 A HIGHWAY 101 N, CRESCENT CITY, CA 95531(707) 395-6699 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1750192779) is a healthcare organization registered as a methadone in Crescent City, California and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1750192779
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address1070 A HIGHWAY 101 NCrescent City, CA 95531
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (732) 570-0268
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateJanuary 17, 2025
Last NPPES UpdateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1750192779 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.
1070 A HIGHWAY 101 N, Crescent City, CA 95531

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 05D2331642

Aegis Treatment Centers, LLC · Crescent City, CA
Active · expires Oct 5, 2027
CLIA Number05D2331642
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMichael J. Waring
Laboratory Phone(707) 395-6699
Laboratory LocationAegis Treatment Centers, LLC1070 A Highway 101 N, Crescent City, CA 95531
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Licensed Vocational Nurse
1070 A HIGHWAY 101 N
CRESCENT CITY, CA 95531
Licensed Vocational Nurse
1070 A HIGHWAY 101 N
CRESCENT CITY, CA 95531

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 1750192779. It was assigned to this organization in the NPPES registry on January 17, 2025.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 1070 A Highway 101 N, Crescent City, CA 95531. The listed phone number is (707) 395-6699.

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 05D2331642) is associated with this NPI, valid through October 5, 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 March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.