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TRILLIUM HOME CARE LLC NPI 1912484890


NPI Information

NPI: 1912484890
Provider Name: TRILLIUM HOME CARE, LLC
Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
2345 E THOMAS RD STE 201
PHOENIX, AZ
ZIP 85016
Phone: (602) 956-1711
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TRILLIUM HOME CARE, LLC is a personal care attendant technician in Phoenix, AZ. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards TRILLIUM HOME CARE, LLC NPI is 1912484890. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2345 E THOMAS RD STE 201
PHOENIX, AZ
ZIP 85016-818
Phone: (602) 956-1711
Fax: (602) 956-5232

The provider's authorized official is Rosemarie Anne Friend .
The authorized official title is Ceo and has the following contact phone number (602) 956-1711.

The enumeration date for this NPI number is 7/24/2018 and was last updated on 7/24/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372600000XAdult CompanionNo
23747P1801XTechnicianPersonal Care AttendantYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1401287MEDICAIDARIZONA

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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