Organization Active NPI

Trillium Behavioral Pathways LLC

  • Psychiatric Hospital
  • Warren, MI
National Provider Identifier
1235979386
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
TRILLIUM BEHAVIORAL PATHWAYS LLC
Practice address
13251 E 10 Mile Rd
Warren, MI 48089-2076
Phone
(586) 742-9200
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jafar Nazeer
Title
Chief Executive Officer
Phone
(248) 277-2806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

13251 E 10 Mile Rd
Warren, MI 48089-2076

Mailing address

13251 E 10 Mile Rd
Warren, MI 48089-2076
Phone (586) 601-4466

Other names 2

  • Trillium Behavioral Doing business as
  • Trillium Behavioral Pathways Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904001918 MI Part A Provider - Hospital 5395247969 Practice locations: Warren, MI

Hospital certification: CCN 234049

Legal name
TRILLIUM BEHAVIORAL PATHWAYS LLC
Doing business as
TRILLIUM BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 29, 2025
Last certification
Oct 29, 2025
Beds
30
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
13251 E 10 Mile Rd
Warren, MI 48089-2050
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2324163Trillium Behavioral Health13251 E 10 Mile Road, Warren, MI 48089Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

13251 E 10 Mile Rd
Warren, MI 48089
Phone (586) 742-9200

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jafar Nazeer Individual 5% Or Greater Indirect Ownership Interest Apr 13, 2021 50%
Operational/Managerial Control Mar 24, 2025
Health Line Capital, LLC Organization, Southlake, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 17, 2023 50%
Rajaguru Nalliah Individual 5% Or Greater Indirect Ownership Interest Nov 17, 2023 50%
Trillium Health Care Management, LLC Organization, Farmington Hills, MI LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 13, 2021 50%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1235979386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13251 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892076",
            "telephone_number": "586-601-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13251 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892076",
            "telephone_number": "586-742-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM BEHAVIORAL PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "NAZEER",
        "authorized_official_first_name": "JAFAR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-277-2806"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Behavioral",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trillium Behavioral",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trillium Behavioral Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.