NPIMap

Organization Active NPI

Caldwell of Cascadia, LLC

Doing business as Caldwell Care of Cascadia

  • Skilled Nursing Facility
  • Caldwell, ID
National Provider Identifier
1467978460
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PENDING Issued in ID
Legal business name
CALDWELL OF CASCADIA, LLC
Doing business as
Caldwell Care of Cascadia
Practice address
210 Cleveland Blvd
Caldwell, ID 83605-3622
Phone
(208) 459-1522
NPI assigned
Aug 21, 2017
Last updated
May 24, 2024By the provider in NPPES
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 PENDING ID Primary

Addresses

Primary practice location

210 Cleveland Blvd
Caldwell, ID 83605-3622

Mailing address

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

Other names 1

  • Caldwell Care of Cascadia 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
O20171106001325 ID Part A Provider - Skilled Nursing Facility 7416213590 Practice locations: Caldwell, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467978460. Details of each certification follow.

Skilled nursing facility certification: CCN 135014

Legal name
CALDWELL OF CASCADIA LLC
Doing business as
CALDWELL CARE OF CASCADIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1970
Last certification
Oct 11, 2024
Beds
68
Ownership / control type
Corporation
Multi-facility organization
Cascadia Healthcare
Organization structure
LLCProprietary
Enrollment address
210 Cleveland Blvd
Caldwell, ID 83605-3622
Nursing home name
CALDWELL CARE OF CASCADIA
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Caldwell Care of CascadiaCCN 135014 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6858.8 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain

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
13D0704508Caldwell Care of Cascadia210 Cleveland Blvd, Caldwell, ID 83605Certificate of waiverAug 31, 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 Jan 9, 2025
Adp of the SNF Jan 9, 2025
Cascadia HC Group LLC Organization, Eagle, ID LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 100%
Cascadia Healthcare LLC Organization, Eagle, ID LLC, Owned by another organization or individual Indirect Ownership Interest Jun 30, 2017 100%
Stephen J Laforte Individual Indirect Ownership Interest Jun 5, 2025 33.33%
Owen C Hammond Individual Operational/Managerial Control Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 33.34%
White Oak Healthcare Finance LLC Organization, New York, NY LLC, Financial institution Adp of the SNF Sep 1, 2017
Ryan J Williams Individual Operational/Managerial Control May 1, 2023
Adp of the SNF Feb 18, 2025
Mark Dudley Individual Operational/Managerial Control Mar 1, 2021
Adp of the SNF Dec 5, 2025
Cascadia Holdco LLC Organization, Eagle, ID LLC, Owned by another organization or individual Indirect Ownership Interest Jun 5, 2025 100%
Cascadia Idaho Operations LLC Organization, Eagle, ID LLC, Owned by another organization or individual Direct Ownership Interest Sep 1, 2017 100%
Timothy Nelson Individual Indirect Ownership Interest Jun 5, 2025 33.33%
Timberline Ctre Tenant LLC Organization, New York, NY LLC Adp of the SNF Jun 5, 2025

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 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1467978460",
    "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": "210 CLEVELAND BLVD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053622",
            "telephone_number": "208-459-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "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": "PENDING",
            "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": "Caldwell Care of Cascadia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.