Provider Demographics
NPI:1447415567
Name:TRILLIUM HOME CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:TRILLIUM HOME CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JAMIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-476-3100
Mailing Address - Street 1:31471 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2575
Mailing Address - Country:US
Mailing Address - Phone:248-476-3100
Mailing Address - Fax:248-476-3101
Practice Address - Street 1:31471 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2575
Practice Address - Country:US
Practice Address - Phone:248-476-3100
Practice Address - Fax:248-476-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIE1055Y251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239041Medicare Oscar/Certification