TRILLIUM FAMILY SERVICES INC. NPI 1205037413

NPI Information

NPI: 1205037413
Provider Name: TRILLIUM FAMILY SERVICES, INC.

Doing Business As: CHILDREN'S FARM HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330
Phone: (541) 757-1852
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TRILLIUM FAMILY SERVICES, INC. is a community based residential treatment facility mental illness in Corvallis, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. TRILLIUM FAMILY SERVICES, INC. NPI is 1205037413. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Farm Home.

The provider's business location address is:

4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330-695
Phone: (541) 757-1852
Fax: (503) 205-0193

The provider's authorized official is Kelli Lloyd .
The authorized official title is Billing & Revenue Assurance Manager and has the following contact phone number (503) 205-3588.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness			MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	228960	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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