Organization Active NPI

Chrysalis Services, LLC

  • Home Health Agency
  • Allegan, MI
National Provider Identifier
1477063204
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHRYSALIS SERVICES, LLC
Practice address
1247 Lincoln Rd Ste B
Allegan, MI 49010-9735
Phone
(269) 512-7200
Fax
(269) 686-8433
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Stephen Douglas Kacmar
Title
Owner
Phone
(616) 312-8480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1247 Lincoln Rd Ste B
Allegan, MI 49010-9735

Mailing address

501 Washington Ave
Holland, MI 49423-4170
Phone (616) 312-8480

National Provider Directory

National Provider Directory

Locations

1247 Lincoln Rd
Ste B
Allegan, MI 49010
Phone (269) 512-7200

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1477063204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234170",
            "telephone_number": "616-312-8480",
            "fax_number": "269-686-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 LINCOLN RD STE B",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109735",
            "telephone_number": "269-512-7200",
            "fax_number": "269-686-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "KACMAR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-312-8480"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

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