TRILLIUM FAMILY SERVICES, INC. (NPI# 1053926568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053926568 |
| Entity Type | Organization |
| Organization Name | TRILLIUM FAMILY SERVICES, INC. |
| Practice Address |
2480 Ne Twin Knolls Dr Bend OR 97701-6833 |
| Mailing Address |
3415 Se Powell Blvd Portland OR 97202-3371 |
| Practice Telephone | 5032349591 |
| Mailing Telephone | 5032349591 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MRS. SUZY VENZKE (SR. MANAGER OF BILLING SERVICES) |
| Authorized Official Telephone | 5032054362 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRILLIUM FAMILY SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NONE | 05 |
| Other Name | Type Code |
|---|---|
| Trillium Day Program of Central Oregon | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912118373 | Trillium Family Services, Inc. | Psychiatric Residential Treatment Facility | 63360 Britta St., Bldg1, Bend, OR 97701 | 2007-05-25 |
| 1508934696 | Trillium Family Services, Inc. | Community/Behavioral Health | 63660 Nw Britta St Ste 1, Bend, OR 97701-9475 | 2006-11-30 |
| 1891012506 | Trillium Family Services, Inc. | Psychiatric Residential Treatment Facility | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2010-04-21 |
| 1750617189 | Trillium Family Services, Inc. | Psychiatric Residential Treatment Facility | 729 7th Ave Sw, Albany, OR 97321-2321 | 2009-10-20 |
| 1922209121 | Trillium Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Ne Hwy 20, Corvallis, OR 97330-9695 | 2007-05-29 |
| 1851592059 | Trillium Family Services, Inc. | Psychiatric Residential Treatment Facility | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2007-05-29 |
| 1215138425 | Trillium Family Services, Inc. | Psychiatric Residential Treatment Facility | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2007-05-29 |
| 1396946505 | Trillium Family Services, Inc. | Psychiatric Residential Treatment Facility | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-05-29 |
| 1205037413 | Trillium Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-05-29 |
| 1104037654 | Trillium Family Services, Inc. | Psychiatric Residential Treatment Facility | 63360 Britta St, Bldg 1, Bend, OR 97701 | 2007-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TRILLIUM FAMILY SERVICES, INC. | 3415 Se Powell Blvd, Portland, OR 97202 |
| Street Address |
2480 NE TWIN KNOLLS DR |
| City | BEND |
| State | OR |
| Zip Code | 97701-6833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598303315 | Mountain River Therapy, LLC | Community/Behavioral Health | 20652 Couples Ln, Bend, OR 97702-2983 | 2019-12-11 |
| 1982172896 | River Bend Therapy, LLC | Community/Behavioral Health | 147 Sw Shevlin Hixon Dr Ste 201, Bend, OR 97702-1137 | 2018-11-08 |
| 1962881706 | Bend Therapist, LLC | Community/Behavioral Health | 2140 Nw Clearwater Dr, Bend, OR 97701-7013 | 2015-05-27 |
| 1457789562 | New Vision West, Inc | Community/Behavioral Health | 2120 Ne Bear Creek Rd, Bend, OR 97701-7184 | 2013-10-29 |
| 1396010773 | Bend Family Therapy, LLC | Community/Behavioral Health | 2660 Ne Highway 20 Ste 610, #333, Bend, OR 97701-6403 | 2012-03-18 |
| 1013142272 | Liz Hinchliffe LLC | Community/Behavioral Health | 1012 Nw Wall St Ste 225, Bend, OR 97701-2034 | 2009-05-18 |
| 1467695940 | Corconcepts Counseling & Enrichment Center | Community/Behavioral Health | 1034 Ne 7th St, Suite A, Bend, OR 97701-4511 | 2009-04-13 |
| 1477729986 | Mcguire Ellingboe, LLP | Community/Behavioral Health | 888 Nw Hill St, Suite 1, Bend, OR 97701-2766 | 2008-05-05 |
| 1184800187 | Resolutions Creative Conflict Management, Inc | Community/Behavioral Health | 2052 Ne 4th St, Bend, OR 97701-3825 | 2008-01-21 |
| 1396877908 | Pfeifer & Associates | Community/Behavioral Health | 23 Nw Greenwood Ave, Bend, OR 97701-2078 | 2007-03-09 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.