Provider Demographics
NPI:1356566046
Name:YALAD HEALTH CARE
Entity type:Organization
Organization Name:YALAD HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRGIL
Authorized Official - Suffix:
Authorized Official - Credentials:RNPC
Authorized Official - Phone:303-754-1758
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80437-0115
Mailing Address - Country:US
Mailing Address - Phone:303-754-1758
Mailing Address - Fax:303-670-9152
Practice Address - Street 1:29948 CARRIAGE LOOP DR
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-8536
Practice Address - Country:US
Practice Address - Phone:303-754-1758
Practice Address - Fax:303-670-9152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO61176B00000X
CO97483363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty