Organization Active NPI

Chrysalis Spectrum Limited Liability Company

  • In Home Supportive Care Agency
  • Houston, TX
National Provider Identifier
1013440304
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHRYSALIS SPECTRUM LIMITED LIABILITY COMPANY
Practice address
8300 Cypress Creek Parkway Ste. 450
Houston, TX 77070
Phone
(281) 407-1662
Fax
(832) 218-8761
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Dr. Alisa Raschal Elliot, DBA
Title
Owner/Agency Administrator
Phone
(281) 407-1662

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

8300 Cypress Creek Parkway Ste. 450
Houston, TX 77070

Mailing address

8300 Cypress Creek Parkway Ste. 450
Houston, TX 77070
Phone (281) 407-1662

National Provider Directory

National Provider Directory

Locations

118 Vintage Park Blvd
#W449
Houston, TX 77070

8300 FM 1960 Rd W
Ste 450
Houston, TX 77070
Phone (346) 335-9360

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1013440304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CYPRESS CREEK PARKWAY STE. 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-407-1662",
            "fax_number": "832-218-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CYPRESS CREEK PARKWAY STE. 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-407-1662",
            "fax_number": "832-218-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS SPECTRUM LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-08-16",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "RASCHAL",
        "authorized_official_title_or_position": "OWNER/AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "281-407-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.