CHRYSALIS UTAH LLC NPI 1184033656

NPI Information

NPI: 1184033656
Provider Name: CHRYSALIS UTAH, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1443 W 800 N
OREM, UT
ZIP 84057
Phone: (801) 404-6023
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CHRYSALIS UTAH, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Orem, UT. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CHRYSALIS UTAH, LLC NPI is 1184033656. The provider is registered as an organization entity type.

The provider's business location address is:

1443 W 800 N
OREM, UT
ZIP 84057-875
Phone: (801) 404-6023

The provider's authorized official is Jesse Yarger .
The authorized official title is Behavior Analyst and has the following contact phone number (801) 404-6023.

The enumeration date for this NPI number is 8/8/2014 and was last updated on 5/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		AO1532	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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