Active NPI
Trillium Behavioral Pathways LLC
- Psychiatric Hospital
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Trillium Behavioral Pathways
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 13251 E 10 Mile Rd
Warren, MI 48089-2050 - Hospital subgroups
- Psychiatric
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2324163 | Trillium Behavioral Health | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jafar Nazeer | 5% Or Greater Indirect Ownership Interest | Apr 13, 2021 | 50% |
| Operational/Managerial Control | Mar 24, 2025 | ||
| Health Line Capital, LLC | 5% Or Greater Direct Ownership Interest | Nov 17, 2023 | 50% |
| Rajaguru Nalliah | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 50% |
| Trillium Health Care Management, LLC | 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.
-
- Psychiatric Hospital
- East Lansing, MI
- NPI 1285277814
Trillium Health Care Management, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Detroit, MI
- NPI 1629432786
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.