TRILLIUM FAMILY SERVICES NPI 1992873004

NPI Information

NPI: 1992873004
Provider Name: TRILLIUM FAMILY SERVICES

Other Name: CHILDREN'S FARM HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330
Phone: (503) 205-4362
Get Directions

TRILLIUM FAMILY SERVICES is a residential treatment facility emotionally disturbed children in Corvallis, OR. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. TRILLIUM FAMILY SERVICES NPI is 1992873004. The provider is registered as an organization entity type.
The provider Other Name Is Children's Farm Home.

The provider's business location address is:

4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330
Phone: (503) 205-4362
Fax: (503) 205-0193

The provider's authorized official is Suzy Venzke .
The authorized official title is Billing Manager and has the following contact phone number (503) 205-4362.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 3/24/2014.

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 State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		OREGON	No
2	323P00000X	Psychiatric Residential Treatment Facility		OREGON	No
3	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	OREGON	No
4	323P00000X	Psychiatric Residential Treatment Facility			No
5	385HR2055X	Respite Care	Respite Care, Mental Illness, Child		No
6	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children			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	312089	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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