Chrysallis, Inc. in Hyattsville - Intermediate Care Facility, Intellectual Disabilities
Chrysallis, Inc. - NPI 1548382401
Chrysallis, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Hyattsville, Maryland. Chrysallis, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Chrysallis, Inc. is 1548382401. The last update date is 2008-09-10.
Chrysallis, Inc.'s current location address is 6495 New Hampshire Ave, Hyattsville, Maryland. You can contact this provider via phone number 3018536754 and fax number 3018536756. The mailing address for Chrysallis, Inc. is 6495 New Hampshire Ave, Hyattsville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chrysallis, Inc. |
|---|---|
| Address | 6495 New Hampshire Ave, Hyattsville, Maryland |
| Phone Number | 3018536754 |
| Fax Number | 3018536756 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilson T. Ilene |
| Credentials | RN BSN |
| Telephone Number | 3018536754 |
NPI Number Detail
| NPI Number | 1548382401 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2008-09-10 |
Provider Mailing Address Detail
| Address | 6495 New Hampshire Ave |
|---|---|
| City | Hyattsville |
| State | Maryland (MD) |
| Post Code | 207833245 |
| Phone Number | 3018536754 |
| Fax Number | 3018536756 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | HFD03-0229 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26785400 | DC | -- | |
| 26786200 | DC | -- | |
| 25901600 | DC | -- | |
| 26784600 | DC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Chrysallis, Inc. by the Centers for Medicare & Medicaid Services?
The Chrysallis, Inc. has been issued the NPI (National Provider Identifier) 1548382401, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Chrysallis, Inc. is physically located?
The Chrysallis, Inc. is physically situated at the following address: 6495 New Hampshire Ave, Hyattsville, MD, 207833245.
What is Chrysallis, Inc.'s area of expertise and its corresponding taxonomy classification?
The Chrysallis, Inc.'s field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1548382401 to Chrysallis, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1548382401 to Chrysallis, Inc. on 2007-04-04.
When was the information regarding Chrysallis, Inc. most recently updated?
The details pertaining to the Chrysallis, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-09-10.