TRILLIUM FAMILY SERVICES, INC. (NPI# 1205037413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205037413 |
| Entity Type | Organization |
| Organization Name | TRILLIUM FAMILY SERVICES, INC. |
| Other Organization Name | CHILDREN'S FARM HOME |
| Practice Address |
4455 Ne Highway 20 Corvallis OR 97330-9695 |
| Mailing Address |
3415 Se Powell Blvd Portland OR 97202-3371 |
| Practice Telephone | 5417571852 |
| Practice Fax Number | 5032050193 |
| Mailing Telephone | 5032349591 |
| Mailing Fax Number | 5032050193 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KELLI LLOYD (BILLING & REVENUE ASSURANCE MANAGER) |
| Authorized Official Telephone | 5032053588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 228960 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Farm Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926568 | Trillium Family Services, Inc. | Day Training, Developmentally Disabled Services | 2480 Ne Twin Knolls Dr, Bend, OR 97701-6833 | 2020-09-11 |
| 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 |
| 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 |
4455 NE HIGHWAY 20 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790884690 | Timothy Joseph Catlow | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2006-09-21 |
| 1609477561 | Brock Van Dyke | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1518568476 | Julia Di Simone | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1336740299 | Sabrina Michelle Watkins | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1245831106 | Hope Trautman | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1932700028 | Hayley Boss | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-04 |
| 1477154714 | Ashley Merback | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1396346631 | Mikayla Alberta Calvery | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1750982096 | Christine Turner | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1831790179 | Madison Elysse Weekly | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740733906 | Trillium Family Services | Community Based Residential Treatment Facility, Mental Illness | 4545 Ne Highway 20, Corvallis, OR 97330-9655 | 2016-07-25 |
| 1396080123 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7161 Nw Ramona Ln, Corvallis, OR 97330-9165 | 2012-12-05 |
| 1225373053 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 34118 Ne Colorado Lake Dr, Corvallis, OR 97333-2242 | 2012-12-05 |
| 1134374390 | Mental Health Association of Benton County | Community Based Residential Treatment Facility, Mental Illness | 606 Sw 5th St, Corvallis, OR 97333-4418 | 2008-12-01 |
| 1104026376 | Trillium Family Services | Community Based Residential Treatment Facility, Mental Illness | 792 Se Mayberry Ave, Corvallis, OR 97333-1862 | 2007-07-24 |
| 1518471853 | Amy Lucason | Community Based Residential Treatment Facility, Mental Illness | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-11-22 |
| 1689925901 | Justin Allan Volker | Community Based Residential Treatment Facility, Mental Illness | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2012-09-26 |
| 1760754873 | Marco Gonzalez-kensler | Community Based Residential Treatment Facility, Mental Illness | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2012-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
| 1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| Find all providers with the same taxonomy | ||||
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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.