TRILLIUM HOME CARE, LLC (NPI# 1912484890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912484890 |
| Entity Type | Organization |
| Organization Name | TRILLIUM HOME CARE, LLC |
| Practice Address |
2345 E Thomas Rd Ste 201 Phoenix AZ 85016-7818 |
| Practice Telephone | 6029561711 |
| Practice Fax Number | 6029565232 |
| Mailing Telephone | 6029561711 |
| Mailing Fax Number | 6029565232 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | ROSEMARIE ANNE FRIEND (CEO) |
| Authorized Official Telephone | 6029561711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 401287 | 05 |
| Street Address |
2345 E THOMAS RD STE 201 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608601 | Kathy Armstrong | Technician | 120 W Dobbins Rd Apt 109120w, Phoenix, AZ 85041-8536 | 2020-01-07 |
| 1447710652 | Sierrabehavioralhealth.llc | Technician | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2019-03-22 |
| 1427555689 | Andrew Lopez | Technician | 6730 N 17th Ave Apt 201, Phoenix, AZ 85015-1394 | 2018-04-12 |
| 1417493115 | Mary Cook | Technician | 2721 E Corona Ave, Phoenix, AZ 85040-2733 | 2017-01-18 |
| 1205380003 | Deanna La Shun Owens | Technician | 1933 W Burgess Ln, Phoenix, AZ 85041-5440 | 2016-08-09 |
| 1649655036 | Simone Kjolsrud | Technician | 1326 E Palm Ln, Phoenix, AZ 85006-2201 | 2015-07-27 |
| 1487056636 | Pamela Renee Govan | Technician | 11624 N 39th Ave, Phoenix, AZ 85029-3119 | 2014-09-18 |
| 1487920476 | Carma C Umpleby | Technician | 2642 E Willetta St, Phoenix, AZ 85008-4613 | 2012-03-24 |
| 1093080186 | Thomas Burris | Technician | 6842 S 40th Pl, Phoenix, AZ 85042-5105 | 2012-03-21 |
| 1538434626 | Tomasa Melendez | Technician | 1320 W Tamarisk St, Phoenix, AZ 85041-2350 | 2012-03-21 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on TRILLIUM HOME CARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.