NPIMap

Organization Active NPI

Trillium Family Services, Inc.

Doing business as Children's Farm Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Corvallis, OR
National Provider Identifier
1922209121
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
TRILLIUM FAMILY SERVICES, INC.
Doing business as
Children's Farm Home
Practice address
4455 NE Hwy 20
Corvallis, OR 97330-9695
Phone
(541) 757-1852
Fax
(503) 205-0193
NPI assigned
May 29, 2007
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Suzy Venzke
Title
Sr. Billing Manager
Phone
(503) 205-4362

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

4455 NE Hwy 20
Corvallis, OR 97330-9695

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone (503) 205-4362

Other identifiers 1

IdentifierTypeStateIssuer
313171MedicaidOR

Other names 1

  • Children's Farm Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2153461Children's Farm Home - Health Services4455 NE Hwy 20, Corvallis, OR 97330Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Childrens Farm Home12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1922209121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023371",
            "telephone_number": "503-205-4362",
            "fax_number": "503-205-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 NE HWY 20",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309695",
            "telephone_number": "541-757-1852",
            "fax_number": "503-205-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "VENZKE",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "SR. BILLING MANAGER",
        "authorized_official_telephone_number": "503-205-4362"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313171",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Farm Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.