CLEMENTINE TWIN LAKES, LLC
NPI 1801375118
Psychiatric Residential Treatment Facility in Clifton, VA

Active since August 08, 2018CLIA 49D2156352 · Waiver
13215 TWIN LAKES DR, CLIFTON, VA 20124(305) 663-1876(914) 479-5490 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2020, Aug 8, 2018 (2 updates tracked since 2018).

About Clementine Twin Lakes, Llc NPPES

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

CLEMENTINE TWIN LAKES, LLC (NPI 1801375118) is a healthcare organization registered as a psychiatric residential treatment facility in Clifton, Virginia and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Jason Schulz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1801375118
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameCLEMENTINE TWIN LAKES, LLC
Location Address13215 TWIN LAKES DRClifton, VA 20124-1215
Mailing Address6100 Sw 76th StSouth Miami, FL 33143-5002 · (305) 663-1876 · Fax (786) 359-4485
Fax(914) 479-5490
Organization SubpartNo
Authorized OfficialJason SchulzChief Financial Officer · (305) 663-1876
Enumeration DateAugust 8, 2018
Last NPPES UpdateFebruary 16, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
NPI 1801375118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
13215 TWIN LAKES DR, Clifton, VA 20124

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 49D2156352

Clementine Twin Lakes · Clifton, VA
Active · expires Oct 15, 2026
CLIA Number49D2156352
Laboratory TypeResidential Treat Fac
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorJoel Jahraus
Laboratory Phone(571) 281-0254
Laboratory LocationClementine Twin Lakes13215 Twin Lakes Drive, Clifton, VA 20124
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Clementine Twin Lakes, LLC's NPI number?

The NPI number for Clementine Twin Lakes, LLC is 1801375118. It was assigned to this organization in the NPPES registry on August 8, 2018.

Where is Clementine Twin Lakes, LLC located?

Clementine Twin Lakes, LLC is located at 13215 Twin Lakes Dr, Clifton, VA 20124. The listed phone number is (305) 663-1876.

What is Clementine Twin Lakes, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Clementine Twin Lakes, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2156352) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clementine Twin Lakes, LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.