NPIMap

Organization Active NPI

Chrysalis Nevada Inc

  • Respite Care
  • Carson City, NV
National Provider Identifier
1912369786
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
CHRYSALIS NEVADA INC
Practice address
3032 Silver Sage Dr
Suite 102
Carson City, NV 89701-6167
Phone
(775) 883-6060
Fax
(775) 883-6061
NPI assigned
Mar 22, 2016
Organization subpart
Yes
Parent organization
CHRYSALIS NEVADA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 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

3032 Silver Sage Dr
Suite 102
Carson City, NV 89701-6167

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

3032 Silver Sage Dr
Ste 102
Carson City, NV 89701
Phone (775) 883-6060

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1912369786",
    "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": "3032 SILVER SAGE DR",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897016167",
            "telephone_number": "775-883-6060",
            "fax_number": "775-883-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS NEVADA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRYSALIS NEVADA INC",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "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 Carson City, NV

Sources for this page

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