Children'S Farm Home
LBN: Trillium Family Services
Children'S Farm Home is an health care organization with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Respite Care Facility / Respite Care, Mental Illness, Child. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty.
Trillium Family Services can be contacted via phone (503) 205-4362, or through Venzke, Suzy via phone (503) 205-4362.
Contact Information
Primary practice address
4455 Ne Highway 20
Corvallis OR 97330
Phone: (503) 205-4362
Fax: (503) 205-0193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | Oregon | |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | ||
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | Oregon | |
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | ||
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Oregon | |
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X |
Profile Details
| NPI number | 1992873004 |
|---|---|
| LBN Legal business name | Trillium Family Services |
| DBA Doing business as | Children'S Farm Home |
| Authorized official | Venzke, Suzy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Mar 24th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992873004 | NPPES |
| Oregon | MEDICAID | 312089 |
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