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CHRYSALIS UTAH, LLC
NPI 1184033656
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Orem, UT

Active since August 08, 2014

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chrysalis Utah, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS UTAH, LLC (NPI 1184033656) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Orem, Utah and active in the NPI registry since August 2014. The organization lists Jesse Yarger, Behavior Analyst, as its authorized official.

NPPES Registry Identity

NPI1184033656
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCHRYSALIS UTAH, LLC
Location Address1443 W 800 NOrem, UT 84057-2875
Mailing Address1443 W 800 NOrem, UT 84057-2875 · (801) 404-6023
Phone(801) 404-6023
Organization SubpartNo
Authorized OfficialJesse YargerBehavior Analyst · (801) 404-6023
Enumeration DateAugust 8, 2014
Last NPPES UpdateMay 28, 2020
NPPES CertifiedMay 28, 2020
✔ NPI 1184033656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in UT · AO1532
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1443 W 800 N, Orem, UT 84057
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH WILLIAMS
Dietitian, Registered
1443 W 800 N
OREM, UT 84057
Utah County (801) 235-0953
ALLIE FAIRBANKS DAVIS
Behavior Technician
1443 W 800 N
OREM, UT 84057
Utah County (801) 655-4950
BETHANY WOMACK
Behavior Analyst
1443 W 800 N, 103
OREM, UT 84057
Utah County (801) 655-4950
CHRYSALIS UTAH, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1443 W 800 N, SUITE 103
OREM, UT 84057
Utah County (801) 655-4950
MR. RYAN GILES M.S.W.
Social Worker (Clinical)
1443 W 800 N, STE 103
OREM, UT 84057
Utah County (801) 655-4950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrysalis Utah, LLC's NPI number?

The NPI number for Chrysalis Utah, LLC is 1184033656. It was assigned to this organization in the NPPES registry on August 8, 2014.

Where is Chrysalis Utah, LLC located?

Chrysalis Utah, LLC is located at 1443 W 800 N, Orem, UT 84057. The listed phone number is (801) 404-6023.

What is Chrysalis Utah, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Chrysalis Utah, LLC was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.