NPIMap

Organization Active NPI

Manassas Addiction Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Manassas, VA
National Provider Identifier
1225692015
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MANASSAS ADDICTION CENTER LLC
Practice address
8859 Sudley Rd Ste 101
Manassas, VA 20110-4745
Phone
(703) 239-3602
Fax
(855) 888-8410
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancye Lynn Sadler, NPNPI 1508818790
Title
President
Phone
(703) 239-3602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

8859 Sudley Rd Ste 101
Manassas, VA 20110-4745

Mailing address

8859 Sudley Rd Ste 101
Manassas, VA 20110-4745
Phone (703) 239-3602

Other identifiers 2

IdentifierTypeStateIssuer
1508818790MedicaidVA
8951641MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731000960 VA Part B Supplier - Clinic/Group Practice 7517293327 Receives reassigned benefits from 6 practitioners
Practice locations: Manassas, VA

National Provider Directory

National Provider Directory

Locations

8609 Sudley Rd
Manassas, VA 20110
Phone (202) 641-2221

9001 Digges Rd
Ste 104
Manassas, VA 20110
Phone (703) 239-3602

8859 Sudley Rd
Ste 101
Manassas, VA 20110
Phone (703) 368-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20194/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1225692015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8859 SUDLEY RD STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104745",
            "telephone_number": "703-239-3602",
            "fax_number": "855-888-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8859 SUDLEY RD STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104745",
            "telephone_number": "703-239-3602",
            "fax_number": "855-888-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS ADDICTION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "NANCYE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-239-3602",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508818790",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8951641",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.