Active NPI
Tylalo, LLC
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Mechanicsville, VA
National Provider Identifier
1841436599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- CO-405-08
- Legal business name
- TYLALO, LLC
- Practice address
- 9195 Cudlipp Ave
Mechanicsville, VA 23116-2654 - Phone
- (804) 730-2819
- Fax
- (804) 730-2819
- NPI assigned
- Dec 31, 2008
- Last updated
- Dec 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darren L. Thornton
- Title
- Cao
- Phone
- (804) 467-9860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | CO-405-08 | VA | Primary |
Addresses
Primary practice location
9195 Cudlipp Ave
Mechanicsville, VA 23116-2654
Mailing address
1905 Parma Rd
Richmond, VA 23229-4147
Phone (804) 467-9860
Other names 1
- Healthy Solutions for Youth
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230681600000",
"number": "1841436599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 PARMA RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232294147",
"telephone_number": "804-467-9860",
"fax_number": "804-747-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9195 CUDLIPP AVE",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162654",
"telephone_number": "804-730-2819",
"fax_number": "804-730-2819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLALO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-31",
"last_updated": "2008-12-31",
"status": "A",
"authorized_official_last_name": "THORNTON",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "804-467-9860",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "VA",
"license": "CO-405-08",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthy Solutions for Youth",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.