Active NPI
Cascades at Sunny Ridge LLC
Doing business as Sunny Ridge
- Skilled Nursing Facility
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Ridge
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 7, 1987
- Medicare certification status
- Active
- Certified beds
- 43
- Chain
- Cascades Healthcare
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Takayama FLP | 5% Or Greater Direct Ownership Interest | Oct 18, 2021 | 22.5% |
| Eelir FLP | 5% Or Greater Direct Ownership Interest | Oct 18, 2021 | 22.5% |
| Ronnmark FLP | 5% Or Greater Direct Ownership Interest | Oct 18, 2021 | 22.5% |
| Tower Bridge FLP | 5% Or Greater Direct Ownership Interest | Oct 18, 2021 | 22.5% |
| Quest FLP | 5% Or Greater Direct Ownership Interest | Oct 18, 2021 | 10% |
| Darin S McSpadden | 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.
-
- Occupational Therapist
- Provo, UT
- NPI 1083740658
Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Cascades at Desert View
- Skilled Nursing Facility
- Buhl, ID
- NPI 1093422370
Quest FLP, Ronnmark FLP, Takayama FLP, Tower Bridge FLP
-
dba Mini-Cassia Care Center
- Skilled Nursing Facility
- Burley, ID
- NPI 1285882431
Eelir FLP, Quest FLP, Ronnmark FLP, Takayama FLP, Tower Bridge FLP
-
dba Cascades at St Anne
- Skilled Nursing Facility
- Seattle, WA
- NPI 1366275067
Quest FLP
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.
-
- Occupational Therapist
- Provo, UT
- NPI 1083740658
-
- Family Medicine Physician
- Middleton, ID
- NPI 1720017247
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.