Organization Active NPI

Cascades at Jacinto Rehab, LP

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1104408301
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CASCADES AT JACINTO REHAB, LP
Practice address
1405 Holland St
Houston, TX 77029-2845
Phone
(713) 455-1744
NPI assigned
Apr 27, 2021
Organization subpart
No

Owners & managing parties with NPI records 4

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jacinto Nursing and Rehabilitation CenterCCN 675231
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 2, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14872.7 residents per day on average
Penalties (3 years)
4Fines totaling $59,867

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0660074Cascades at Jacinto1405 Holland Ave, Houston, TX 77029Certificate of waiverAug 31, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518002767 TX Part A Provider - Skilled Nursing Facility 8921407248 Practice locations: Houston, TX

Skilled nursing facility certification: CCN 675231

Legal name
CASCADES AT JACINTO REHAB, LP
Doing business as
CASCADES AT JACINTO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 2, 1993
Last certification
Dec 5, 2024
Beds
148
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cascades LLC
Most recent change of ownership
Apr 1, 2026
Organization structure
OtherProprietary
Incorporated
Apr 1, 2021 in UT
Enrollment address
1405 Holland St
Houston, TX 77029-2845

All disclosed owners & managing parties 17

Medicare enrollment files

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

NameRoleSinceShare
Aurala, LLC Organization, Provo, UT LLC, For-profit Adp of the SNF Jun 1, 2021
Gulf Assets, LLC Organization, Provo, UT LLC, For-profit Adp of the SNF Jun 1, 2021
Patrice D Barnum Individual Adp of the SNF Apr 3, 2025
Jacinto Holdings, LP Organization, Provo, UT For-profit Adp of the SNF Jun 1, 2021
Cascades Healthcare of Texas, LLC Organization, Provo, UT LLC, For-profit, Owned by another organization or individual General Partnership Interest Jun 1, 2021 1%
Adp of the SNF Apr 3, 2025
Nodyah, FLP Organization, Provo, UT For-profit, Owned by another organization or individual Limited Partnership Interest Jun 1, 2021 24.75%
Crumo, LLC Organization, Provo, UT LLC, For-profit Adp of the SNF Jun 1, 2021
Chad B Fullmer Individual Corporate DirectorDirector/Manager Jun 1, 2021 25%
Operational/Managerial Control Jun 1, 2021
Lone Star Assets Family Limited Partnership Organization, Provo, UT For-profit, Owned by another organization or individual Limited Partnership Interest Jun 1, 2021 24.75%
Derek O White Individual Corporate DirectorDirector/Manager Jun 1, 2021 25%
Operational/Managerial Control Jun 1, 2021
Darin S McSpadden Individual Corporate DirectorDirector/Manager Jun 1, 2021 25%
Operational/Managerial ControlManager Jun 1, 2021 12.37%
Braunwyn Delco Individual Adp of the SNF Apr 3, 2025
Taki Family Limited Partnership Organization, Provo, UT For-profit, Owned by another organization or individual Limited Partnership Interest Jun 1, 2021 24.75%
Saimaa Family Limited Partnership Organization, Provo, UT For-profit, Owned by another organization or individual Limited Partnership Interest Jun 1, 2021 24.75%
Hitori Hoshi, LLC Organization, Provo, UT LLC, For-profit Adp of the SNF Jun 1, 2021
Cascades at Jacinto Rehab, LP Organization, Provo, UT For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
Operational/Managerial Control Jun 1, 2021
Jason W Crump Individual Corporate DirectorDirector/Manager Jun 1, 2021 25%
Operational/Managerial Control Jun 1, 2021

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Darin McSpadden
Title
Manager
Phone
(801) 494-0487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1405 Holland St
Houston, TX 77029-2845

Mailing address

5314 River Run Dr Ste 140
Provo, UT 84604-7706

Other names 1

  • Cascades at Jacinto Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mnold@glennrogerslaw.com

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1104408301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 RIVER RUN DR STE 140",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HOLLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770292845",
            "telephone_number": "713-455-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADES AT JACINTO REHAB, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "MCSPADDEN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-494-0487"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnold@glennrogerslaw.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1405 Holland St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770292845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cascades at Jacinto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.