NPIMap

Organization Active NPI

Nampa of Cascadia, LLC

  • Skilled Nursing Facility
  • Nampa, ID
National Provider Identifier
1356867683
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NAMPA OF CASCADIA, LLC
Doing business as
Cascadia of Nampa
Practice address
900 North Happy Valley Rd
Nampa, ID 83687
Phone
(208) 401-9600
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

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

Addresses

Primary practice location

900 North Happy Valley Rd
Nampa, ID 83687

Mailing address

2205 E Riverside Dr Ste 100
Eagle, ID 83616-7621
Phone (208) 401-9600

Other names 1

  • Cascadia of Nampa Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016002554 ID Part A Provider - Skilled Nursing Facility 0648546879 Practice locations: Nampa, ID

Skilled nursing facility certification: CCN 135144

Legal name
NAMPA OF CASCADIA LLC
Doing business as
CASCADIA OF NAMPA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 7, 2018
Last certification
Jun 21, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cascadia Healthcare
Organization structure
LLCProprietary
Incorporated
Jul 8, 2016 in DE
Enrollment address
900 N Happy Valley Rd
Nampa, ID 83687-8596
Nursing home name
CASCADIA OF NAMPA
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cascadia of NampaCCN 135144 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 7, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10094.1 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
4Fines totaling $68,518

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
13D2134513Cascadia of Nampa900 North Happy Valley Rd, Nampa, ID 83687Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Cascadia Healthcare LLC Organization, Eagle, ID LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 8, 2016 100%
Owen C Hammond Individual 5% Or Greater Indirect Ownership Interest Jul 8, 2016 25%
Corporate OfficerPresident Jul 8, 2016
Operational/Managerial Control Jul 8, 2016 100%
Warren Douglas Bodily Individual 5% Or Greater Indirect Ownership Interest Jul 8, 2016 25%
Corporate OfficerVice President Jul 8, 2016
Cascadia Idaho Operations LLC Organization, Eagle, ID LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 8, 2016 100%
Daniel J Allen DO PC Organization, Meridian, ID Corporation Operational/Managerial Control Oct 16, 2023
Matthew C Smith Individual 5% Or Greater Indirect Ownership Interest Jul 8, 2016 25%
Corporate OfficerVP Jul 8, 2016
Brad Jacobsen Individual W-2 Managing EmployeeAd; Apr 15, 2024
Nathan W Hosac Individual 5% Or Greater Indirect Ownership Interest Jul 8, 2016 25%
Corporate OfficerVP Jul 8, 2016

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1356867683",
    "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": "900 NORTH HAPPY VALLEY RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83687",
            "telephone_number": "208-401-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMPA OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "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",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "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 Nampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.