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AEGIS TREATMENT CENTERS, LLC
NPI 1821434671
Clinic/Center - Methadone in Roseville, CA

Active since May 21, 2013CLIA 05D0687002 · Waiver
1133 COLOMA WAY, #C, ROSEVILLE, CA 95661(916) 774-6647 Get Directions Write a Review

NPPES record last updated: March 8, 2023. 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 1821434671) is a healthcare organization registered as a methadone in Roseville, California and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1821434671
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address1133 COLOMA WAY, #CRoseville, CA 95661-4480
Mailing Address7246 Remmet AveCanoga Park, CA 91303-1531
Phone(916) 774-6647
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateMay 21, 2013
Last NPPES UpdateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1821434671 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.
1133 COLOMA WAY, Roseville, CA 95661
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Other Identifiers 1

MedicaidHDC70085FCA

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 05D0687002

Aegis Treatment Centers, LLC · Roseville, CA
Active · expires Dec 20, 2026
CLIA Number05D0687002
Laboratory TypeNarcotic Trtment Program
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorDr. Michael J. Waring
Laboratory Phone(916) 774-6647
Laboratory LocationAegis Treatment Centers, LLC1133 Coloma Way, Ste C, Roseville, CA 95661
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 20

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

MANOUELA KRASTEVA DIMOVA
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MR. ROMAN NASERI I RADT
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 798-5485
MS. ALORALYN ROMINQUE AYRAN
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, #C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
ANDREA MICHELLE FERRIE
Counselor (Mental Health)
1133 COLOMA WAY, SUITE A
ROSEVILLE, CA 95661
Placer County (916) 786-3750
MIRANDA LELA LOW CADC I
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
SHARENE ARSHADI
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MR. DAVID MICHAEL BETTENCOURT
Counselor (Mental Health)
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 452-3981
JENNIFER FRANCISCO
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647

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 1821434671. It was assigned to this organization in the NPPES registry on May 21, 2013.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 1133 Coloma Way #c, Roseville, CA 95661. The listed phone number is (916) 774-6647.

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 05D0687002) is associated with this NPI, valid through December 20, 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 Aegis Treatment Centers, LLC was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.