KRYSILIS, INC.-NEVADA 4
NPI 1760458889
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Nevada, IA

NPI Status: Active since February 28, 2006

Contact Information

1031 SHAGBARK DR
NEVADA, IA
ZIP 50201
Phone: (515) 382-4549

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  • Organization
  • Residential Treatment Facility, Intellec...

About KRYSILIS, INC.-NEVADA 4

This page provides the complete NPI Profile along with additional information for Krysilis, Inc.-nevada 4, a provider established in Nevada, Iowa operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1760458889 assigned on February 2006. The practitioner's primary taxonomy code is 320600000X with license number 850841 (IA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Krysilis, Inc.-nevada 4. The authorized official of this NPI record is Mr. Brent V Aberg (Executive Director)

NPI
1760458889
Provider Legal Name
DEVELOPMENTAL RESOURCES, INC.
Other Organization Name
KRYSILIS, INC.-NEVADA 4
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1031 SHAGBARK DR NEVADA, IA 50201
Location Phone
(515) 382-4549
Mailing Address
102 W PARK ST FOREST CITY, IA 50436
Mailing Phone
(641) 585-5450
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
850841
License State
IA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRENT V ABERG

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(641) 585-5450

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
IA04211OTHER (01)IASUBMITTER ID
0881292MEDICAID (05)IA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760458889
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271208516816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 5 + 1 + 6 + 8 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1760458889 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MOSAIC

Intermediate Care Facility, Intellectual Disabilities

1031 SHAGBARK DR
NEVADA, IA
ZIP 50201

(641) 585-5451

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760458889, enumerated as an "organization" on February 28, 2006.

The provider is located at 1031 SHAGBARK DR NEVADA, IA 50201 and the phone number is (515) 382-4549.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.