CHRYSALIS UTAH, LLC – NPI #1891898045
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 UTAH, LLC is a community based residential treatment facility located in OREM, UT. NPPES has assigned the NPI number 1891898045 to CHRYSALIS UTAH, LLC on September 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CHRYSALIS UTAH, LLC is also known by the name CHRYSALIS. With multiple taxonomy codes selected, 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.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 UTAH, LLC below.

NPI Profile for
CHRYSALIS UTAH, LLC

NPI Number
1891898045
Enumeration Date

(about 20 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 UTAH, LLC
Other Name: CHRYSALIS
Primary location
1443 W 800 N
SUITE 103
OREM, UT 84057-2875
Phone: (801) 655-4950 Fax: (801) 655-4954
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARC CHRISTENSEN
CHIEF OPERATIONS OFFICER
Phone: (801) 655-4950
Updated
Certification Date
May 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHRYSALIS UTAH, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT788007788140
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)		 UT
103K00000X
- Behavior Analyst
101YM0800X
- Counselor / Mental Health

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.