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AEGIS TREATMENT CENTERS, LLC
NPI 1992219646
Clinic/Center - Methadone in Redlands, CA

Active since November 16, 2017CLIA 05D2144759 · Waiver
1889 W REDLANDS BLVD BLDG 9, REDLANDS, CA 92373(909) 501-5167(909) 501-5167 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2023, Nov 16, 2017 (2 updates tracked since 2017).

About Aegis Treatment Centers, Llc NPPES

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

AEGIS TREATMENT CENTERS, LLC (NPI 1992219646) is a healthcare organization registered as a methadone in Redlands, California and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1992219646
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address1889 W REDLANDS BLVD BLDG 9Redlands, CA 92373-3119
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(909) 501-5167
Fax(909) 501-5167
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateNovember 16, 2017
Last NPPES UpdateSeptember 17, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2023
✔ NPI 1992219646 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.
1889 W REDLANDS BLVD BLDG 9, Redlands, CA 92373
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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 05D2144759

Aegis Treatment Centers, LLC · Redlands, CA
Active · expires Feb 21, 2028
CLIA Number05D2144759
Laboratory TypeNarcotic Treatment Prgm
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorKimberly E. Conley
Laboratory Phone(909) 501-5167
Laboratory LocationAegis Treatment Centers, LLC1889 W Redlands Blvd Bldg 9, Redlands, CA 92373
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 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.
511 services17 patients

Other Providers at the Same Location NPPES 16

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

SHEILA ELIZABETH KILLINGSWORTH-THOMAS CADC-I
Counselor (Addiction (Substance Use Disorder))
1889 W REDLANDS BLVD BLDG 9
REDLANDS, CA 92373
San Bernardino County (909) 501-5167
KIMBERLY ELYSE CONLEY M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
1889 W REDLANDS BLVD BLDG 9
REDLANDS, CA 92373
San Bernardino County (909) 501-5167
JULISA N ROBERTS
Counselor (Addiction (Substance Use Disorder))
1889 W REDLANDS BLVD BLDG 9
REDLANDS, CA 92373
San Bernardino County (909) 501-5167
DOMONIQUE MACKEY
Counselor (Addiction (Substance Use Disorder))
1889 W REDLANDS BLVD BLDG 9
REDLANDS, CA 92373
San Bernardino County (909) 501-5167
JESSICA LYNN BURROWS
Counselor (Addiction (Substance Use Disorder))
1889 W REDLANDS BLVD BLDG 9
REDLANDS, CA 92373
San Bernardino County (909) 501-5167
BRITTANEY HALLEY
Marriage & Family Therapist
1889 W REDLANDS BLVD BLDG 9
REDLANDS, CA 92373
San Bernardino County (909) 501-5167
AUDRINA ANDEE DELEON
Counselor (Addiction (Substance Use Disorder))
1889 W REDLANDS BLVD BLDG 9
REDLANDS, CA 92373
San Bernardino County (909) 501-5167
MS. MONICA M CUNDIFF PSS
Counselor (Addiction (Substance Use Disorder))
1889 W REDLANDS BLVD BLDG 9
REDLANDS, CA 92373
San Bernardino County (909) 501-5167

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 1992219646. It was assigned to this organization in the NPPES registry on November 16, 2017.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 1889 W Redlands Blvd Bldg 9, Redlands, CA 92373. The listed phone number is (909) 501-5167.

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 05D2144759) is associated with this NPI, valid through February 21, 2028. 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 17, 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.