NPIMap

Organization Active NPI

Chrysalis Nevada Inc

  • Respite Care
  • Reno, NV
National Provider Identifier
1043664733
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
CHRYSALIS NEVADA INC
Practice address
5595 Equity Ave
Suite 400
Reno, NV 89502-2589
Phone
(775) 322-6060
Fax
(775) 322-6061
NPI assigned
Apr 19, 2016
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRYSALIS NEVADA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Marc Robert Christensen
Title
President
Phone
(801) 655-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

5595 Equity Ave
Suite 400
Reno, NV 89502-2589

Mailing address

1443 W 800 N
Suite 103
Orem, UT 84057-2875
Phone (801) 655-4950

National Provider Directory

National Provider Directory
Tax ID family
Chrysalis Nevada Inc5 organizations share this tax ID, including this one
Part of
Chrysalis Nevada Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5595 Equity Ave
Ste 400
Reno, NV 89502
Phone (775) 322-6060

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1043664733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 W 800 N",
            "address_2": "SUITE 103",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572875",
            "telephone_number": "801-655-4950",
            "fax_number": "801-655-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 EQUITY AVE",
            "address_2": "SUITE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022589",
            "telephone_number": "775-322-6060",
            "fax_number": "775-322-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS NEVADA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRYSALIS NEVADA INC",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-655-4950"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.