NPIMap

Organization Active NPI

Developmental Resources, Inc.

Doing business as Krysilis, Inc.-Nevada 3

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Nevada, IA
National Provider Identifier
1104892298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
850442 Issued in IA
Legal business name
DEVELOPMENTAL RESOURCES, INC.
Doing business as
Krysilis, Inc.-Nevada 3
Practice address
217 Maple Ave
Nevada, IA 50201-2523
Phone
(515) 382-6225
NPI assigned
Feb 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brent V Aberg
Title
Executive Director
Phone
(641) 585-5450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 850442 IA Primary

Addresses

Primary practice location

217 Maple Ave
Nevada, IA 50201-2523

Mailing address

102 W Park St
Forest City, IA 50436-2132
Phone (641) 585-5450

Other names 1

  • Krysilis, Inc.-Nevada 3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Developmental Resources Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104892298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PARK ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504362132",
            "telephone_number": "641-585-5450",
            "fax_number": "641-585-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAPLE AVE",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012523",
            "telephone_number": "515-382-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABERG",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-585-5450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "850442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krysilis, Inc.-Nevada 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.