NPIMap

Organization Active NPI

Charolais Care I, Inc

Doing business as Mini-Cassia Care Center

  • Skilled Nursing Facility
  • Burley, ID
National Provider Identifier
1285882431
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHAROLAIS CARE I, INC
Doing business as
Mini-Cassia Care Center
Practice address
1729 Miller Ave
Burley, ID 83318-2338
Phone
(208) 678-9474
NPI assigned
Aug 29, 2008
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Angela Pasquale
Title
Authorized Official, Office Manager
Phone
(208) 539-0751

Specialties & licenses 1

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

Addresses

Primary practice location

1729 Miller Ave
Burley, ID 83318-2338

Mailing address

110 N 800 E
Jerome, ID 83338-5724

Other names 1

  • Mini-Cassia Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000487 ID Part A Provider - Skilled Nursing Facility 7517021017 Practice locations: Burley, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285882431. Details of each certification follow.

Skilled nursing facility certification: CCN 135081

Legal name
CHAROLAIS CARE I, INC
Doing business as
MINI CASSIA CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1979
Last certification
May 30, 2025
Beds
68
Ownership / control type
Corporation
Multi-facility organization
Cascades
Most recent change of ownership
Dec 1, 2008
Organization structure
CorporationProprietary
Incorporated
Aug 27, 2008 in ID
Enrollment address
1729 Miller Ave
Burley, ID 83318-2338
Nursing home name
MINI-CASSIA CARE CENTER
Affiliated entity
CASCADES HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mini-Cassia Care CenterCCN 135081 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6855.6 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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Burley Skilled Nursing Facility, LLC Organization, Tucson, AZ LLC Adp of the SNF Jun 1, 2008
Takayama FLP Organization, Provo, UT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2018 22.5%
Eelir FLP Organization, Provo, UT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2018 22.5%
Dawn Meyer Individual Operational/Managerial Control Nov 1, 2018
Adp of the SNF Nov 1, 2018
BRP Health Management Systems Inc Organization, Pocatello, ID Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2010 100%
Operational/Managerial Control Nov 1, 2018 100%
Adp of the SNF Jun 12, 2025
Ronnmark FLP Organization, Provo, UT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2018 22.5%
Florian J Gies Individual Operational/Managerial Control Nov 1, 2018
Adp of the SNF Nov 1, 2018
Tower Bridge FLP Organization, Provo, UT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2018 22.5%
Chad B Fullmer Individual Corporate DirectorDirector/Manager Nov 1, 2018
Thomas G Moore Individual Corporate DirectorDirector/Manager Nov 1, 2018
Quest FLP Organization, Provo, UT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2020 10%
Derek O White Individual Corporate DirectorBoard Member Nov 1, 2018
Darin S McSpadden Individual Corporate DirectorChairman,Board of Directors Nov 1, 2018
Charolais Care I, Inc Organization, Burley, ID Corporation, For-profit Operational/Managerial Control Oct 28, 2008
Adp of the SNF May 27, 2025
Snake River Healthcare LLC Organization, Provo, UT Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2018 100%
Operational/Managerial Control Oct 1, 2018 100%
Adp of the SNF Jun 12, 2025
Jason W Crump Individual Corporate DirectorDirector/Manager Nov 1, 2018

Owners & managing parties with NPI records 3

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

Facilities with the same owner 4

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": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1285882431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 800 E",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833385724",
            "fax_number": "208-904-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 MILLER AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182338",
            "telephone_number": "208-678-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAROLAIS CARE I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "PASQUALE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, OFFICE MANAGER",
        "authorized_official_telephone_number": "208-539-0751"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mini-Cassia Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.