Active NPI
Trillium Family Services, Inc.
Doing business as TFS of Central Oregon
- Psychiatric Residential Treatment Facility
- Bend, OR
National Provider Identifier
1104037654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- TRILLIUM FAMILY SERVICES, INC.
- Doing business as
- TFS of Central Oregon
- Practice address
- 63360 Britta St, BLDG 1
Bend, OR 97701 - Phone
- (541) 318-4845
- Fax
- (503) 205-0193
- NPI assigned
- May 25, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelli Lloyd
- Title
- Billing & Revenue Assurance Manager
- Phone
- (503) 205-3588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | NU | Primary |
Addresses
Primary practice location
63360 Britta St, BLDG 1
Bend, OR 97701
Mailing address
3415 SE Powell Blvd
Portland, OR 97202-3371
Phone (503) 234-9591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312114 | Medicaid | OR |
Other names 1
- TFS of Central Oregon
National Provider Directory
National Provider Directory- Tax ID family
- TFS of Central Oregon
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba TFS of Central Oregon
- Psychiatric Residential Treatment Facility
- Bend, OR
- NPI 1912118373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104037654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023371",
"telephone_number": "503-234-9591",
"fax_number": "503-205-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63360 BRITTA ST, BLDG 1",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "541-318-4845",
"fax_number": "503-205-0193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRILLIUM FAMILY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LLOYD",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "BILLING & REVENUE ASSURANCE MANAGER",
"authorized_official_telephone_number": "503-205-3588"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312114",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TFS of Central Oregon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.