Trillium House, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TRILLIUM HOUSE, INC.

Practice address

1144 Northland Dr
Marquette, MI 49855-4408

Phone

(906) 264-5026

Fax

(906) 273-1011

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By 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

Mr. Pat John Bray

Title

Exec. Dir.

Phone

(906) 264-5026

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1851909741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 NORTHLAND DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554408",
            "telephone_number": "906-264-5026",
            "fax_number": "906-273-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORTHLAND DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554408",
            "telephone_number": "906-264-5026",
            "fax_number": "906-273-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "EXEC. DIR.",
        "authorized_official_telephone_number": "906-264-5026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "AM520379519",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@trilliumhospicehouse.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1144 Northland Dr",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498554408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Tourville, PA-C
• Jeanette Tousignant
• Chelsea Monique Travis, MD
• Deborah Ann Traynor, CRNA
• Nichol Marie Trejo, FNP-BC
• Trillium Therapy Services LLC
• Hema Patel Tripathi, PT
• Ritesh Tripathi, DPT
• Jessica Tripp, NP
• Terrance David Tripp, MPT

• Community Based Hospice Care Agency in Marquette, MI
• Providers in Marquette, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.