TRILLIUM FAMILY SERVICES


Address: 4140 Ne Highway 20, Corvallis, OR 97330-9639
Phone: 5419059500

TRILLIUM FAMILY SERVICES (NPI# 1568663300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568663300
Entity Type Organization
Organization Name TRILLIUM FAMILY SERVICES
Practice Address 4140 Ne Highway 20
Corvallis
OR 97330-9639
Practice Telephone 5419059500
Mailing Telephone 5419059500
Enumeration Date 2007-05-30
Last Update Date 2020-08-22
Authorized Official Name MARC NEWELL SMITH (LEAD TREATMENT TEAM LEADER)
Authorized Official Telephone 5417587734
Authorized Official Credential B.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children OR Residential Treatment Facilities

Other Provider IDs and Locations

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
1659617298 Trillium Family Services Community Based Residential Treatment Facility, Mental Illness 9214 Sw Cascara Ln, Tualatin, OR 97062-7553 2013-01-01
1336401017 Trillium Family Services Community/Behavioral Health 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 2012-06-08
1235440702 Trillium Family Services Psychiatric Residential Treatment Facility 3009 Nw Grant Pl, Corvallis, OR 97330-1814 2010-06-29
1346494101 Trillium Family Services Psychiatric Residential Treatment Facility 229 Se 4th Ave, Albany, OR 97321 2008-11-06
1326238809 Trillium Family Services Community Based Residential Treatment Facility, Mental Illness 3830 Ne 21st Ave, Portland, OR 97212-1429 2007-07-31
1104026376 Trillium Family Services Community Based Residential Treatment Facility, Mental Illness 792 Se Mayberry Ave, Corvallis, OR 97333-1862 2007-07-24
1831395375 Trillium Family Services Psychiatric Residential Treatment Facility 2430 Nw Rolling Green Dr, #17, Corvallis, OR 97330-3778 2007-06-22
1568663078 Trillium Family Services Residential Treatment Facility, Emotionally Disturbed Children 1505 Nw Harder Ln, Albany, OR 97321-1522 2007-05-31
1619178829 Trillium Family Services Residential Treatment Facility, Emotionally Disturbed Children 4455 Highway North West Highway 20, Corvallis, OR 97333 2007-05-29

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names TRILLIUM FAMILY SERVICES FOUNDATION, INC. 3415 Se Powell Blvd, Portland, OR 97202
Oregon Corporations, Companies and Business Names TRILLIUM FAMILY SERVICES, INC. 3415 Se Powell Blvd, Portland, OR 97202

Office Location

Street Address 4140 NE HIGHWAY 20
City CORVALLIS
State OR
Zip Code 97330-9639

Providers in the same zip code

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 Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184829194 Childrens Farm Home Residential Treatment Facility, Emotionally Disturbed Children 4455 N.e.hwy 20, Corvallis, OR 97330 2007-06-19
1366643579 Children's Farm Home Residential Treatment Facility, Emotionally Disturbed Children 3280 Ne Lancaster St Apt 2, Corvallis, OR 97330-4059 2007-05-29
1619178829 Trillium Family Services Residential Treatment Facility, Emotionally Disturbed Children 4455 Highway North West Highway 20, Corvallis, OR 97333 2007-05-29
1356552558 Children's Farm Home Residential Treatment Facility, Emotionally Disturbed Children 1355 Sw Western Blvd, Corvallis, OR 97333-4203 2007-05-27
1760827182 Children Farm Home Residential Treatment Facility, Emotionally Disturbed Children 4455 Ne Highway 20, Corvallis, OR 97330-9695 2013-04-30
1942401781 Childrens Farm Home Residential Treatment Facility, Emotionally Disturbed Children 4455 Ne Highway 20, Corvallis, OR 97330-9695 2007-05-30
1922209121 Trillium Family Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 4455 Ne Hwy 20, Corvallis, OR 97330-9695 2007-05-29
1275734485 Trillium Family Service Residential Treatment Facility, Emotionally Disturbed Children 4455 Ne Highway 20, Corvallis, OR 97330-9695 2007-05-29
1992873004 Trillium Family Services Residential Treatment Facility, Emotionally Disturbed Children 4455 Ne Highway 20, Corvallis, OR 97330 2006-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811541568 Dragonfly Programs, LLC Residential Treatment Facility, Emotionally Disturbed Children 505 N 9th St, Klamath Falls, OR 97601-2876 2019-07-31
1740844984 Brigacare, Incorporated Residential Treatment Facility, Emotionally Disturbed Children 15703 Sw Whetstone Way, Sherwood, OR 97140-8895 2019-04-23
1275085128 Northwest Youth Discovery Residential Treatment Facility, Emotionally Disturbed Children 61850 Dobbin Rd, Bend, OR 97702-9536 2016-10-26
1427414895 Polk Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 175 Ne Kings Valley Hwy Ste A, Dallas, OR 97338-1787 2016-01-14
1083070361 Oregon 180 Residential Treatment Facility, Emotionally Disturbed Children 725 W 14th St, Medford, OR 97501-3429 2016-01-03
1013395953 Bridges Academy Corp Residential Treatment Facility, Emotionally Disturbed Children 67030 Gist Rd, Bend, OR 97701-9209 2015-05-12
1336565993 Northwest Youth Discovery Residential Treatment Facility, Emotionally Disturbed Children 9 Nw 15th St, Bend, OR 97701-3102 2014-03-06
1528499696 Klamath Lake County Youth Ranch Residential Treatment Facility, Emotionally Disturbed Children 5800 Happy Hollow Ln, Bonanza, OR 97623-7714 2013-11-27
1487082681 Yamhill County Juvenile Department Residential Treatment Facility, Emotionally Disturbed Children 535 E 5th St, Mcminnville, OR 97128-4504 2013-10-24
1154758266 Youth Guidance Association Residential Treatment Facility, Emotionally Disturbed Children 2730 Ne Flanders St, Portland, OR 97232-3160 2013-10-03
Find all providers with the same taxonomy

Competitor

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City CORVALLIS
Zip Code 97330

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Dataset Information

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.

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