NPIMap

Aegis Treatment Centers, LLC

Organization Active NPI Methadone Clinic · Madera, CA

NPI 1205586336 · NPPES record last updated Dec 5, 2023

Key facts

NPI
1205586336
Entity type
Organization (NPI type 2)
Primary specialty
Methadone Clinic 261QM2800X
Legal business name
AEGIS TREATMENT CENTERS, LLC
Practice address
300 E Almond Ave Ste 100
Madera, CA 93637-5653
Phone
(559) 229-9040
Fax
(559) 229-9060
NPI assigned
Mar 23, 2022
Organization subpart
No

Authorized official

Name
Denise Winant
Title
Credentialing Supervisor
Phone
(732) 570-0268

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2279196Aegis Treatment Centers, LLC
300 E Almond Ave Suite 100, Madera, CA 93637		Certificate of waiverMar 29, 2027

National Provider Directory

Tax ID family
Aegis Treatment Centers LLC (78 organizations share this tax ID)

Locations

300 E Almond Ave
Ste 100
Madera, CA 93637
Phone (559) 229-9040

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Yes

Addresses

Primary practice location

300 E Almond Ave Ste 100
Madera, CA 93637-5653

Mailing address

7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (818) 206-0360

Other providers in Madera, CA

All providers in Madera, CA · Methadone Clinic in California

Sources for this page

Verify at the official NPI Registry.