Organization Active NPI

Tylalo, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Mechanicsville, VA
National Provider Identifier
1841436599
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
CO-405-08 Issued in VA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.