NPIMap

Organization Active NPI

Blaine of Cascadia LLC

Doing business as Stafholt Health and Rehabilitation

  • Skilled Nursing Facility
  • Blaine, WA
National Provider Identifier
1386354231
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BLAINE OF CASCADIA LLC
Doing business as
Stafholt Health and Rehabilitation
Practice address
456 C St
Blaine, WA 98230-4238
Phone
(208) 401-9600
Fax
(208) 314-0639
NPI assigned
Dec 1, 2022
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 NU Primary

Addresses

Primary practice location

456 C St
Blaine, WA 98230-4238

Mailing address

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

Other names 1

  • Stafholt Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519000383 WA Part A Provider - Skilled Nursing Facility 5092171900 Practice locations: Blaine, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386354231. Details of each certification follow.

Skilled nursing facility certification: CCN 505395

Legal name
BLAINE OF CASCADIA LLC
Doing business as
STAFHOLT HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1991
Last certification
Mar 25, 2025
Beds
57
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cascadia Healthcare
Organization structure
LLCProprietary
Incorporated
Nov 30, 2022 in DE
Enrollment address
456 C St
Blaine, WA 98230-4238
Nursing home name
STAFHOLT HEALTH AND REHABILITATION OF CASCADIA
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stafholt Health and Rehabilitation of CascadiaCCN 505395 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5754.4 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain
Penalties (3 years)
3Fines totaling $47,182

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Cascadia Services LLC Organization, Eagle, ID LLC Operational/Managerial Control Nov 30, 2022
Adp of the SNF Jan 8, 2025
Cascadia HC Group LLC Organization, Eagle, ID LLC Indirect Ownership Interest Jun 5, 2025 100%
Benjamin Bristow Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Feb 14, 2025
Cascadia Healthcare LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 30, 2022
Indirect Ownership Interest Jul 1, 2023 100%
Blaine 456 Realty, LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Security Interest Jun 5, 2025 100%
Adp of the SNF Jun 5, 2025
Stephen J Laforte Individual Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 33.33%
Cascadia Washington Operations LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 30, 2022
Direct Ownership Interest Jul 1, 2023 100%
Owen C Hammond Individual Operational/Managerial Control Jul 1, 2023
Indirect Ownership Interest Jul 1, 2023 33.34%
Danielle St. Germaine Individual Operational/Managerial Control Aug 26, 2024
Adp of the SNF Feb 14, 2025
White Oak Healthcare Finance LLC Organization, New York, NY LLC, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Aug 11, 2022
Cascadia Holdco LLC Organization, Eagle, ID LLC, Owned by another organization or individual Indirect Ownership Interest Jun 5, 2025 100%
Timothy Nelson Individual Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 33.33%

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 45

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

View all 45

Practitioners & affiliated clinicians

Practitioners 3

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": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1386354231",
    "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",
            "fax_number": "208-314-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 C ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304238",
            "telephone_number": "208-401-9600",
            "fax_number": "208-314-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAINE OF CASCADIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stafholt Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, WA

Sources for this page

Verify at the official NPI Registry.