Tyl Mental Health in Home Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TYL MENTAL HEALTH IN HOME SERVICES

Practice address

13800 Heacock St Ste 116
19355 Redrock St Perris,Ca 92570
Moreno Valley, CA 92553-8810

Phone

(323) 646-7561

Fax

(951) 247-3504

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

TYL MENTAL HEALTH IN HOME SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Yolanda Minor

Title

Owner/Director

Phone

(323) 646-7561

Specialties & licenses 1

Addresses

Part of

Tyl Mental Health in Home Services

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1083066781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE 116",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538810",
            "fax_number": "951-247-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE 116",
            "address_2": "19355 REDROCK ST PERRIS,CA 92570",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538810",
            "telephone_number": "323-646-7561",
            "fax_number": "951-247-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYL MENTAL HEALTH IN HOME SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TYL MENTAL HEALTH IN HOME SERVICES",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "323-646-7561",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.