Chrysallis, Inc.
LBN: Chrysallis, Inc.
Chrysallis, Inc. is an health care organization with primary practice located at 6495 New Hampshire Ave Suite 303, Hyattsville MD 20783-3245. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Chrysallis, Inc. can be contacted via phone (301) 853-6754, or through Wilson, Ilene Tondelayo via phone (301) 853-6754.
Contact Information
Primary practice address
6495 New Hampshire Ave Suite 303
Hyattsville MD 20783-3245
Phone: (301) 853-6754
Fax: (301) 853-6756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | District of Columbia |
Profile Details
| NPI number | 1306095617 |
|---|---|
| LBN Legal business name | Chrysallis, Inc. |
| DBA Doing business as | |
| Authorized official | Wilson, Ilene Tondelayo RN BSN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 10th, 2008 |
| Last updated | Sep 10th, 2008 - about 17 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 | 1306095617 | NPPES |
| District of Columbia | MEDICAID | 039289400 |
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