Boise of Cascadia, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BOISE OF CASCADIA, LLC

Practice address

6000 W. Denton St.
Boise, ID 83706

Phone

(208) 401-9600

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Owen Hammond

Title

President

Phone

(208) 401-9600

Specialties & licenses 1

Addresses

Other names 1

• Cascadia of Boise Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Skilled nursing facility certification: CCN 135146

Legal name

BOISE OF CASCADIA LLC

Doing business as

CASCADIA OF BOISE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 20, 2018

Last certification

Aug 8, 2024

Beds

100

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 7, 2016 in DE

Enrollment address

6000 W Denton St
Boise, ID 83704-9310

Nursing home name

CASCADIA OF BOISE

Affiliated entity

CASCADIA HEALTHCARE

Listed as

Cascadia of BoiseCCN 135146

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

Sep 20, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10091.0 residents per day on average

Chain

Cascadia Healthcare46 facilities in the chain

Penalties (3 years)

1Fines totaling $13,049

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

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

• Ryan J. Williams, MD

  • Internal Medicine Physician
  • Nampa, ID
  • NPI 1114053014

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 46

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

• Bellevue of Cascadia, LLC

  • Skilled Nursing Facility
  • Bellevue, ID
  • NPI 1861946436

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Boise West of Cascadia, LLC

  • Skilled Nursing Facility
  • Boise, ID
  • NPI 1063966638

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Brookings of Cascadia, LLC

  • Skilled Nursing Facility
  • Eagle, ID
  • NPI 1447960307

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Services LLC

  CMS ownership
• Caldwell of Cascadia, LLC

  • Skilled Nursing Facility
  • Caldwell, ID
  • NPI 1467978460

  Cascadia Services LLC

  CMS ownership
• Canyon County of Cascadia, LLC

  • Skilled Nursing Facility
  • Nampa, ID
  • NPI 1699208280

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Canyon West of Cascadia, LLC

  • Skilled Nursing Facility
  • Caldwell, ID
  • NPI 1770009680

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Clearwater of Cascadia

  • Skilled Nursing Facility
  • Orofino, ID
  • NPI 1760925572

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Coeur D Alene of Cascadia

  • Skilled Nursing Facility
  • Coeur D Alene, ID
  • NPI 1487197299

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Emmett of Cascadia, LLC

  • Skilled Nursing Facility
  • Emmett, ID
  • NPI 1497388003

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Grangeville of Cascadia, LLC

  • Skilled Nursing Facility
  • Grangeville, ID
  • NPI 1740942622

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Idaho Falls North of Cascadia, LLC

  • Skilled Nursing Facility
  • Idaho Falls, ID
  • NPI 1972220473

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Idaho Falls of Cascadia, LLC

  • Skilled Nursing Facility
  • Idaho Falls, ID
  • NPI 1467113233

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership

Practitioners 1

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

• Nathan Hicks, MD

  • Internal Medicine Physician
  • Boise, ID
  • NPI 1144667817
  NPD (past)

Affiliated clinicians 1

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

• Nathan Hicks, MD

  • Internal Medicine Physician
  • Boise, ID
  • NPI 1144667817

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1295249241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E RIVERSIDE DR STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167621",
            "telephone_number": "208-401-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W. DENTON ST.",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-401-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-401-9600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cascadia of Boise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Boise, ID
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.

Verify at the official NPI Registry.