A Su Lado Co.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

A SU LADO CO.

Practice address

1200 Main St Apt 202
Dallas, TX 75202-4300

Phone

(214) 310-8970

NPI assigned

Nov 15, 2014

Last updated

Nov 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yarik MolinaNPI 1770989972

Title

President

Phone

(214) 310-8970

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yarik Molina

  • Case Manager/Care Coordinator
  • Dallas, TX
  • NPI 1770989972
  NPD (past) Authorized official

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416009600000",
    "number": "1356747554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST APT 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024300",
            "telephone_number": "214-310-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST APT 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024300",
            "telephone_number": "214-310-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SU LADO CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-15",
        "last_updated": "2014-11-15",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "YARIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-310-8970"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.