NPIMap

Organization Active NPI

Cascade Healthcare Community

Doing business as Sage View at St. Charles Medical Center

  • Psychiatric Residential Treatment Facility
  • Bend, OR
National Provider Identifier
1003939885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
757 Issued in OR
Legal business name
CASCADE HEALTHCARE COMMUNITY
Doing business as
Sage View at St. Charles Medical Center
Practice address
1885 NE Purcell Blvd
Bend, OR 97701-6022
Phone
(541) 322-2700
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tom Safley
Title
SVP-Cfo Financial Services
Phone
(541) 322-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 757 OR Primary

Addresses

Primary practice location

1885 NE Purcell Blvd
Bend, OR 97701-6022

Mailing address

PO Box 5789
Bend, OR 97708-5789
Phone (541) 322-0124

Other names 1

  • Sage View at St. Charles Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000113 OR Part A Provider - Hospital 3870402852 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bend, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003939885. Details of each certification follow.

Hospital certification: CCN 38S047

Legal name
ST CHARLES HEALTH SYSTEM INC
Doing business as
SAGE VIEW AT ST CHARLES
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1971 in OR
Enrollment address
1885 NE Purcell Blvd
Bend, OR 97701-6022
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shelly Handkins Individual Corporate OfficerBoard Member Jan 1, 2021
Steven G Gordon Individual Corporate OfficerChief Executive Officer Jul 20, 2022
Corporate DirectorBoard Member Sep 1, 2014
W-2 Managing Employee Jul 20, 2022
Matthew Swafford Individual Corporate OfficerCfo Aug 1, 2021
Chris McClellan Individual Corporate DirectorBoard Member Jan 1, 2025
Jenny Obrien Individual Corporate OfficerBoard Member Jan 1, 2022
James Orlikoff Individual Corporate DirectorBoard Member Jan 1, 2018
Ann Rhoads Individual Corporate OfficerBoard Member Jan 1, 2021
Jon Bullock Individual Corporate DirectorBoard Member Jan 1, 2025
St Charles Health System Inc Organization, Bend, OR Corporation Operational/Managerial Control Mar 23, 2005
Andrew Davidson Individual Corporate DirectorBoard Member Oct 14, 2025
Daniel Schuette Individual Corporate DirectorBoard Member Oct 23, 2007
Jennifer Schmid Individual Corporate DirectorBoard Member Aug 1, 2019
Glenn S Rodriguez Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003939885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5789",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977085789",
            "telephone_number": "541-322-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 NE PURCELL BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016022",
            "telephone_number": "541-322-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HEALTHCARE COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAFLEY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "SVP-CFO FINANCIAL SERVICES",
        "authorized_official_telephone_number": "541-322-0124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OR",
            "license": "757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage View at St. Charles Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.