Chrysallis, Inc.
LBN: Chrysallis, Inc.
Chrysallis, Inc. is an health care organization with primary practice located at 3765 1St St Se , Washington DC 20032-2313. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
Chrysallis, Inc. can be contacted via phone (202) 561-4393, or through Wilson, Ilene T. via phone (301) 853-6754.
Contact Information
Primary practice address
3765 1St St Se
Washington DC 20032-2313
Phone: (202) 561-4393
Fax: (301) 853-6756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | HFD03-0229 | District of Columbia |
Profile Details
| NPI number | 1548382401 |
|---|---|
| LBN Legal business name | Chrysallis, Inc. |
| DBA Doing business as | |
| Authorized official | Wilson, Ilene T. RN BSN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Sep 10th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548382401 | NPPES |
| District of Columbia | MEDICAID | 026785400 | |
| District of Columbia | MEDICAID | 026786200 | |
| District of Columbia | MEDICAID | 025901600 | |
| District of Columbia | MEDICAID | 026784600 |
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