Trillium Home Care, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

TRILLIUM HOME CARE, LLC

Practice address

2345 E Thomas Rd Ste 201
Phoenix, AZ 85016-7818

Phone

(602) 956-1711

Fax

(602) 956-5232

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Rosemarie Anne Friend

Title

Ceo

Phone

(602) 956-1711

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1912484890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E THOMAS RD STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167818",
            "telephone_number": "602-956-1711",
            "fax_number": "602-956-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E THOMAS RD STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167818",
            "telephone_number": "602-956-1711",
            "fax_number": "602-956-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-956-1711"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401287",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Personal Care Attendant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.