Healthcare Provider Details

I. General information

NPI: 1356566046
Provider Name (Legal Business Name): YALAD HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29948 CARRIAGE LOOP DR
EVERGREEN CO
80439-8536
US

IV. Provider business mailing address

PO BOX 115
EVERGREEN CO
80437-0115
US

V. Phone/Fax

Practice location:
  • Phone: 303-754-1758
  • Fax: 303-670-9152
Mailing address:
  • Phone: 303-754-1758
  • Fax: 303-670-9152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number61
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number97483
License Number StateCO

VIII. Authorized Official

Name: MS. CHERILEE VIRGIL
Title or Position: OWNER
Credential: RNPC
Phone: 303-754-1758