AEGIS TREATMENT CENTERS, LLC


Address: 1235 Mchenry Ave, Suite A & B, Modesto, CA 95350-5370
Phone: 2095274597

AEGIS TREATMENT CENTERS, LLC (NPI# 1659436095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659436095
Entity Type Organization
Organization Name AEGIS TREATMENT CENTERS, LLC
Practice Address 1235 Mchenry Ave
Suite A & B
Modesto
CA 95350-5370
Mailing Address 7246 Remmet Ave
Canoga Park
CA 91303-1531
Practice Telephone 2095274597
Practice Fax Number 2095274599
Mailing Telephone 8182060360
Mailing Fax Number 8182060381
Enumeration Date 2006-12-26
Last Update Date 2015-01-27
Authorized Official Name MR. ALEXANDER CHARLES DODD (PRESIDENT-CEO)
Authorized Official Telephone 8182060360
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA HDC70076F 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083224141 Aegis Treatment Centers, LLC Clinic/Center 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 2020-08-04
1326698887 Aegis Treatment Centers, LLC Clinic/Center 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 2019-09-17
1548819550 Aegis Treatment Centers, LLC Clinic/Center 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 2019-09-11
1760922207 Aegis Treatment Centers, LLC Clinic/Center 1137 Hartnell Avenue, Suite E, 1141, 1145 & 1147 Hartnell Avenue, Redding, CA 96002-2113 2017-03-02
1649669979 Aegis Treatment Centers, LLC Clinic/Center 541 S Ham Ln Ste A&b, Lodi, CA 95242-3530 2015-01-09
1134565740 Aegis Treatment Centers, LLC Clinic/Center 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 2013-05-22
1851444376 Aegis Treatment Centers, LLC Clinic/Center 1839 S. El Dorado Street, Stockton, CA 95206-2025 2007-01-19
1316003601 Aegis Treatment Centers, LLC Clinic/Center 2321 Pontius Ave, Los Angeles, CA 90064-1809 2006-12-29
1972669257 Aegis Treatment Centers, LLC Clinic/Center 1322 N Avalon Blvd, Wilmington, CA 90744-2639 2006-12-29
1104982495 Aegis Treatment Centers, LLC Clinic/Center 1343 W Main St Ste A&b, 1349 W. Main Street, Merced, CA 95340-4438 2006-12-29

Office Location

Street Address 1235 MCHENRY AVE
SUITE A & B
City MODESTO
State CA
Zip Code 95350-5370

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245850304 Jessica Dawn French Counselor 1235 Mchenry Ave, Modesto, CA 95350-5370 2020-04-19
1407475387 Evangelyn Estrada Licensed Vocational Nurse 1235 Mchenry Ave, Modesto, CA 95350-5370 2020-04-10
1306483045 Trinity Rose Teicheira Counselor 1235 Mchenry Ave, Modesto, CA 95350-5370 2019-12-02
1073154324 Stephen Powell Licensed Vocational Nurse 1235 Mchenry Ave, Modesto, CA 95350-5370 2019-10-07
1841831070 Dionissya Gomez Punla Licensed Vocational Nurse 1235 Mchenry Ave, Modesto, CA 95350-5370 2019-09-29
1558919829 Mary Ann Yadollahi Licensed Vocational Nurse 1235 Mchenry Ave, Modesto, CA 95350-5370 2019-08-29
1215583026 Magdali M Moreno Licensed Vocational Nurse 1235 Mchenry Ave, Modesto, CA 95350-5370 2019-08-16
1184187072 Anthony Jason Ramirez Counselor 1235 Mchenry Ave, Modesto, CA 95350-5370 2019-04-09
1184183477 Angilene Nichole Forrest Counselor 1235 Mchenry Ave, Modesto, CA 95350-5370 2019-03-15
1922565266 Sylvia Perez Counselor 1235 Mchenry Ave, Modesto, CA 95350-5370 2019-02-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
Find all providers in zip 95350

Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659717494 Aegis Treatment Centers, LLC Clinic/Center 103 Modesto Ave, Modesto, CA 95354-0414 2013-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083224141 Aegis Treatment Centers, LLC Clinic/Center 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 2020-08-04
1093323222 City and County of San Francisco Clinic/Center 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 2020-07-14
1548899644 Bella Team Ltd. Clinic/Center 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 2020-04-02
1386280899 Western Pacific Med-corp Clinic/Center 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 2019-11-19
1518501527 Harmonic Solutions LLC Clinic/Center 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 2019-11-01
1326698887 Aegis Treatment Centers, LLC Clinic/Center 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 2019-09-17
1548819550 Aegis Treatment Centers, LLC Clinic/Center 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 2019-09-11
1306326699 Kristen Andree Rickard Clinic/Center 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 2018-08-16
1083141600 Baart Behavioral Health Services, Inc. Clinic/Center 1145 Market St Fl 10, San Francisco, CA 94103-1566 2017-05-13
1013448547 Coachella Valley Treatment Center Clinic/Center 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 2017-03-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City MODESTO
Zip Code 95350

Improve Information

Please comment or provide details below to improve the information on AEGIS TREATMENT CENTERS, LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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