Trillium Woods LLC
NPI 1396127213ActiveOrganization· Skilled Nursing Facility· Plymouth, MN
Skilled Nursing Facility in Plymouth, Minnesota, registered in NPPES in June 2015. The authorized official on file is Diane C. Bridgewater, Executive Vice President. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1396127213 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2015 |
| Last updated in NPPES | Jan 20, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 373092 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MN) |
|---|
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