Organization Active NPI

Trillium Health Resources

  • Community/Behavioral Health Agency
  • Ahoskie, NC
National Provider Identifier
1841530375
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRILLIUM HEALTH RESOURCES
Practice address
144 Community College Rd
Ahoskie, NC 27910-8047
Phone
(252) 332-4137
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Mrs. Joy B Futrell
Title
Ceo
Phone
(252) 332-4137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

144 Community College Rd
Ahoskie, NC 27910-8047

Mailing address

144 Community College Rd
Ahoskie, NC 27910-8047
Phone (866) 998-2597

Other identifiers 1

IdentifierTypeStateIssuer
6703002MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Neuse Center Mhddsas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1841530375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 COMMUNITY COLLEGE RD",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108047",
            "telephone_number": "866-998-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 COMMUNITY COLLEGE RD",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108047",
            "telephone_number": "252-332-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "FUTRELL",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-332-4137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6703002",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.