CHRYSALIS HOME CARE LLC


Address: 1803 Castle St, Wilmington, NC 28403-2103
Phone: 9104650427

CHRYSALIS HOME CARE LLC (NPI# 1497002745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497002745
Entity Type Organization
Organization Name CHRYSALIS HOME CARE LLC
Practice Address 1803 Castle St
Wilmington
NC 28403-2103
Mailing Address 1811 Carolina Ave
Wilmington
NC 28403-1003
Practice Telephone 9104650427
Mailing Telephone 9104650427
Enumeration Date 2012-08-06
Last Update Date 2012-08-06
Authorized Official Name VALERIA ANTOINETTE JONES (ADMINISTRATOR)
Authorized Official Telephone 9104650427
Authorized Official Credential MBA/PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Office Location

Street Address 1803 CASTLE ST
City WILMINGTON
State NC
Zip Code 28403-2103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710071238 Eldo, Inc. Custodial Care Facility 1803 Castle St, Wilmington, NC 28403-2103 2006-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326426800 Rha Health Services Nc, LLC Custodial Care Facility 1502 N Kerr Ave, Wilmington, NC 28405-1110 2015-05-15
1811210644 Superior Care-adult Center Custodial Care Facility 631 W Newport Pike, Wilmington, DE 19804-3259 2010-03-08
1003066051 Resources for Human Development Custodial Care Facility 2804 Grubb Rd, Wilmington, DE 19810-2319 2008-09-26
1528104585 Easter Seals Ucp North Carolina & Virginia, Inc. Custodial Care Facility 129 El Ogden Dr, Wilmington, NC 28411-9713 2007-01-29
1619013679 Easter Seals Ucp North Carolina & Virginia, Inc. Custodial Care Facility 3531 Lakewood Pl, Wilmington, NC 28409-9169 2007-01-29
1710071238 Eldo, Inc. Custodial Care Facility 1803 Castle St, Wilmington, NC 28403-2103 2006-10-02
1558667790 Cedar Cove Assisted Living, LLC Custodial Care Facility 4200 Jasmine Cove Way, Wilmington, NC 28412-2099 2011-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578162061 Lewis E Williams Custodial Care Facility 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 2020-10-26
1861008583 Arbor Landing At Hampstead LLC Custodial Care Facility 13937 Us Highway 17, Hampstead, NC 28443-4041 2020-09-17
1124645544 Charlotte Sp Senior Housing Opco, LLC Custodial Care Facility 6041 Piedmont Row Drive, Charlotte, NC 28208 2020-07-01
1740804111 Happy Hearts Group Home Custodial Care Facility 6255 Burlington Rd, Gibsonville, NC 27249-8783 2020-06-02
1730703422 Graham 4 Enterprises Custodial Care Facility 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 2020-05-29
1477177111 C&s Adult Care LLC, Dba Deal Care Inn Custodial Care Facility 1075 Deal Rd, Mooresville, NC 28115-6719 2020-05-28
1114554516 Cassandra Davis Custodial Care Facility 131 Huntington Rd, Louisburg, NC 27549 2020-03-25
1356975767 Cornerstone Community Service Custodial Care Facility 2220 Southgate St, Durham, NC 27703-2102 2020-02-24
1477184653 Rose Vista Assisted Living, LLC Custodial Care Facility 2130 Rose Vista Rd, Kinston, NC 28504-8230 2020-01-28
1104456011 Regina Williams Custodial Care Facility 511 Tansy Drive, Charlotte, NC 28214 2020-01-20
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Competitor

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City WILMINGTON
Zip Code 28403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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