Trillium Woods LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

373092 Issued in MN

Legal business name

TRILLIUM WOODS LLC

Doing business as

The Birches at Trillium Woods

Practice address

14585 59TH Ave N
Plymouth, MN 55446-3872

Phone

(763) 519-1350

Fax

(763) 559-1799

NPI assigned

Jun 27, 2015

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane C Bridgewater

Title

Executive Vice President

Phone

(515) 875-4500

Specialties & licenses 1

Addresses

Other names 1

• The Birches at Trillium Woods Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396127213. Details of each certification follow.

• CCN 245627 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245627

Legal name

TRILLIUM WOODS LLC

Doing business as

THE BIRCHES AT TRILLIUM WOODS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 30, 2015

Last certification

Sep 12, 2024

Beds

44

Ownership / control type

Limited Liability Corporation

Multi-facility organization

LCS

Organization structure

LLCProprietary

Incorporated

May 19, 2006 in IA

Enrollment address

14585 59TH Ave N
Plymouth, MN 55446-3872

Nursing home name

THE BIRCHES AT TRILLIUM WOODS

Affiliated entity

LIFE CARE SERVICES

Listed as

The Birches at Trillium WoodsCCN 245627 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 30, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4440.2 residents per day on average

Chain

Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 27

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hannah Reimen, DO

  • Family Medicine Physician
  • Golden Valley, MN
  • NPI 1851704829

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 119

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

• Charterhouse Inc

  • Skilled Nursing Facility
  • Rochester, MN
  • NPI 1083601843

  Life Care Services LLC

  CMS ownership
• Arlington of Naples LLC

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1326771015

  LCS CC Holdings Inc, LCS Holding Company LLC, LCS Living Holdings LLC, LCS Living Intermediate I LLC, LCS Living Intermediate II LLC, LCS Living LLC, LCS Management Holding Company LLC, Life Care Companies LLC, Life Care Services Communities LLC ·

  CMS ownership
• Ashby Ponds, Inc.

  dba Continuing Care at Ashby Ponds

  • Skilled Nursing Facility
  • Ashburn, VA
  • NPI 1871831222

  Oak Investment Trust, Oak Investment Trust II

  CMS ownership
• Brandon Wilde LLC

  dba The Pavilion at Brandon Wilde

  • Skilled Nursing Facility
  • Evans, GA
  • NPI 1780450924

  Life Care Services LLC

  CMS ownership
• Burcham Hills Retirement Center II

  dba Burcham Hills Retirement Community

  • Skilled Nursing Facility
  • East Lansing, MI
  • NPI 1659344844

  Life Care Services LLC

  CMS ownership
• Carillon, Inc.

  dba Bellecourt South

  • Skilled Nursing Facility
  • Lubbock, TX
  • NPI 1275524027

  Life Care Services LLC

  CMS ownership
• Casa de Las Campanas, Inc.

  dba Casa de las Campanas

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1770566978

  LCS Holding Company LLC, LCS Management Holding Company LLC, Life Care Companies LLC, Life Care Services LLC, McCarthy Group LLC, MPM Senior Living Investors LLC, Oak Investment Trust, Oak Investment Trust II, Rci Legacy Holdings LLC, Redwood Hol

  CMS ownership
• CCRC - Brandywine, LLC

  dba Freedom Village at Brandywine

  • Skilled Nursing Facility
  • Coatesville, PA
  • NPI 1255342580

  Life Care Services LLC

  CMS ownership
• CCRC - Lake Port Square, LLC

  dba Lake Port Square Health Center

  • Skilled Nursing Facility
  • Leesburg, FL
  • NPI 1073927331

  Life Care Services LLC

  CMS ownership
• CCRC - Regency Oaks, LLC

  dba Regency Oaks Health Center

  • Skilled Nursing Facility
  • Clearwater, FL
  • NPI 1164836425

  Life Care Services LLC

  CMS ownership
• CCRC - South Port Square, LLC

  dba Harbour Health Center

  • Skilled Nursing Facility
  • Port Charlotte, FL
  • NPI 1376957803

  Life Care Services LLC

  CMS ownership
• CCRC Opco - Bradenton, LLC

  dba Nursing Center at Freedom Village

  • Skilled Nursing Facility
  • Bradenton, FL
  • NPI 1417361858

  Life Care Services LLC

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Emma Reese Dolphin

  • Physician Assistant
  • Minneapolis, MN
  • NPI 1073071635

  Nursing home

  Care Compare affiliation
• Thomas M Dvorak, PA-C

  • Physician Assistant
  • Mankato, MN
  • NPI 1326248683

  Nursing home

  Care Compare affiliation
• Katelyn Elhard, PA-C

  • Physician Assistant
  • Minneapolis, MN
  • NPI 1215684550

  Nursing home

  Care Compare affiliation
• Ibrahim A Mujir, M.D.

  • Family Medicine Physician
  • Brooklyn Park, MN
  • NPI 1649367210

  Nursing home

  Care Compare affiliation
• Hannah Reimen, DO

  • Family Medicine Physician
  • Golden Valley, MN
  • NPI 1851704829

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1396127213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14585 59TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463872",
            "telephone_number": "763-519-1350",
            "fax_number": "763-559-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14585 59TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463872",
            "telephone_number": "763-519-1350",
            "fax_number": "763-559-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM WOODS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "515-875-4500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "373092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Birches at Trillium Woods",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Birches at Trillium Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailee Faith Traeger, PT, DPT
• Kim Hoa Tram, PHARMD
• Heather B Trangsrud, PH.D.
• Anthony Charles Traverse, O.D.
• Janet Sharon Tresnak, DDS
• Alexis Triplett, MA, LPCC
• Erik Andrew Troff Jr.
• Anna Christine Trout, LMFT
• Troy Duncan Psychological Services PLLC
• Claire Truniger, M.A., OTR/L

• Skilled Nursing Facility in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.

Verify at the official NPI Registry.