Organization Active NPI

Cascades at Sunny Ridge LLC

Doing business as Sunny Ridge

  • Skilled Nursing Facility
  • Nampa, ID
National Provider Identifier
1285390963
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CASCADES AT SUNNY RIDGE LLC
Doing business as
Sunny Ridge
Practice address
2609 Sunnybrook Dr
Nampa, ID 83686-6332
Phone
(800) 385-2527
NPI assigned
Nov 16, 2021
Last updated
Nov 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Darin McSpaddenNPI 1083740658
Title
Manager
Phone
(801) 426-4905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2609 Sunnybrook Dr
Nampa, ID 83686-6332

Mailing address

5314 River Run Dr Ste 140
Provo, UT 84604-7706
Phone (801) 426-4905

Other names 1

  • Sunny Ridge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220112002184 ID Part A Provider - Skilled Nursing Facility 8921490400 Practice locations: Nampa, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285390963. Details of each certification follow.

Skilled nursing facility certification: CCN 135102

Legal name
CASCADES AT SUNNY RIDGE LLC
Doing business as
SUNNY RIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 7, 1987
Last certification
Jan 10, 2025
Beds
43
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cascades Healthcare
Organization structure
LLCProprietary
Incorporated
Oct 18, 2021 in ID
Enrollment address
2609 Sunnybrook Dr
Nampa, ID 83686-6332
Nursing home name
SUNNY RIDGE
Affiliated entity
CASCADES HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sunny RidgeCCN 135102 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 7, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4335.7 residents per day on average
Chain
Cascades Healthcare19 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

2609 Sunnybrook Dr
Nampa, ID 83686
Phone (208) 467-7298

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Takayama FLP Organization, Lehi, UT 5% Or Greater Direct Ownership Interest Oct 18, 2021 22.5%
Eelir FLP Organization, Alpine, UT 5% Or Greater Direct Ownership Interest Oct 18, 2021 22.5%
Ronnmark FLP Organization, Highland, UT 5% Or Greater Direct Ownership Interest Oct 18, 2021 22.5%
Tower Bridge FLP Organization, Lindon, UT 5% Or Greater Direct Ownership Interest Oct 18, 2021 22.5%
Quest FLP Organization, Provo, UT 5% Or Greater Direct Ownership Interest Oct 18, 2021 10%
Darin S McSpadden Individual Operational/Managerial Control Sep 23, 2021 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1285390963",
    "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",
            "telephone_number": "801-426-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 SUNNYBROOK DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866332",
            "telephone_number": "800-385-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADES AT SUNNY RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "MCSPADDEN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-426-4905"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.