Organization Active NPI

Coeur D Alene of Cascadia

  • Skilled Nursing Facility
  • Coeur d'Alene, ID
National Provider Identifier
1487197299
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COEUR D ALENE OF CASCADIA
Practice address
2514 N 7TH St
Coeur D Alene, ID 83814-3720
Phone
(208) 664-8128
NPI assigned
Nov 28, 2016
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CASCADIA IDAHO OPERATIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 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 Primary

Addresses

Primary practice location

2514 N 7TH St
Coeur D Alene, ID 83814-3720

Mailing address

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

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
O20170327000619 ID Part A Provider - Skilled Nursing Facility 0941585384 Practice locations: Coeur D Alene, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487197299. Details of each certification follow.

Skilled nursing facility certification: CCN 135052

Legal name
COEUR D ALENE OF CASCADIA
Doing business as
COEUR D ALENE HEALTH OF CASCADIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1978
Last certification
Mar 20, 2025
Beds
117
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cascadia Healthcare
Organization structure
LLCProprietary
Enrollment address
2514 N 7TH St
Coeur D Alene, ID 83814-3720
Nursing home name
COEUR D ALENE HEALTH OF CASCADIA
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Coeur d Alene Health of CascadiaCCN 135052 · All quality measures
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
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11773.9 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain
Penalties (3 years)
2Fines totaling $33,815

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
13D0902002Coeur D'Alene Health of Cascadia2514 N 7TH St, Coeur D'Alene, ID 83814Certificate of waiverJun 8, 2027

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 1, 2017
Adp of the SNF Jun 18, 2025
Cascadia HC Group LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Operational/Managerial Control Jun 5, 2025
Cascadia Healthcare LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2016
Operational/Managerial Control Jan 14, 2025
Stephen J Laforte Individual 5% Or Greater Indirect Ownership InterestPrincipal Jun 5, 2025 33.33%
Operational/Managerial Control Jun 5, 2025
Owen C Hammond Individual 5% Or Greater Indirect Ownership InterestPrincipal Nov 15, 2016 33.34%
Operational/Managerial Control Jun 5, 2025
Rachel Toland Individual Operational/Managerial Control Jun 17, 2025
Adp of the SNF Jun 18, 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
Michael G Meza Individual Operational/Managerial Control Oct 1, 2023
Adp of the SNF Jun 18, 2025
Cascadia Holdco LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Operational/Managerial Control Jun 5, 2025
Cascadia Idaho Operations LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 15, 2016
Timothy Nelson Individual 5% Or Greater Indirect Ownership InterestPrincipal Jun 5, 2025 33.33%
Operational/Managerial Control Jun 5, 2025
Cda 2514 Realty, LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Security Interest Jun 5, 2025 100%
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 46

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

View all 46

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.

Affiliated clinicians 2

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1487197299",
    "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": "2514 N 7TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143720",
            "telephone_number": "208-664-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COEUR D ALENE OF CASCADIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADIA IDAHO OPERATIONS, LLC",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "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": null,
            "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": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.