CHRYSALIS TEXAS – NPI #1073811196
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CHRYSALIS TEXAS is a community based residential treatment facility located in OREM, UT. NPPES has assigned the NPI number 1073811196 to CHRYSALIS TEXAS on March 14, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRYSALIS TEXAS below.

NPI Profile for
CHRYSALIS TEXAS

NPI Number
1073811196
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHRYSALIS TEXAS
Primary location
531 E 770 N
OREM, UT 84097-4102
Phone: (801) 655-4950 Fax: (801) 655-4954
Mailing address
Same as primary location
Organization Subpart
Yes - CHRYSALIS TEXAS is subpart of another organization.
Authorized Official
MARC CHRISTENSEN
PRESIDENT
Phone: (801) 360-4672
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 TX

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.