Active NPI
Coeur D Alene of Cascadia
- Skilled Nursing Facility
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- CASCADIA IDAHO OPERATIONS, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Cascadia
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1978
- Medicare certification status
- Active
- Certified beds
- 117
- Chain
- Cascadia Healthcare
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D0902002 | Coeur D'Alene Health of Cascadia | Certificate of waiver | Jun 8, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Cascadia Services LLC | Operational/Managerial Control | Jan 1, 2017 | |
| Adp of the SNF | Jun 18, 2025 | ||
| Cascadia HC Group LLC | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 100% |
| Operational/Managerial Control | Jun 5, 2025 | ||
| Cascadia Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Nov 15, 2016 | |
| Operational/Managerial Control | Jan 14, 2025 | ||
| Stephen J Laforte | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 33.33% |
| Operational/Managerial Control | Jun 5, 2025 | ||
| Owen C Hammond | 5% Or Greater Indirect Ownership Interest | Nov 15, 2016 | 33.34% |
| Operational/Managerial Control | Jun 5, 2025 | ||
| Rachel Toland | Operational/Managerial Control | Jun 17, 2025 | |
| Adp of the SNF | Jun 18, 2025 | ||
| White Oak Healthcare Finance LLC | 5% Or Greater Security Interest | Aug 11, 2022 | |
| Michael G Meza | Operational/Managerial Control | Oct 1, 2023 | |
| Adp of the SNF | Jun 18, 2025 | ||
| Cascadia Holdco LLC | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 100% |
| Operational/Managerial Control | Jun 5, 2025 | ||
| Cascadia Idaho Operations LLC | 5% Or Greater Direct Ownership Interest | Nov 15, 2016 | |
| Timothy Nelson | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 33.33% |
| Operational/Managerial Control | Jun 5, 2025 | ||
| Cda 2514 Realty, LLC | 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.
-
- Family Medicine Physician
- Coeur d'Alene, ID
- NPI 1134124506
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 46
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Cove of Cascadia
- Skilled Nursing Facility
- Bellevue, ID
- NPI 1861946436
Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC
-
dba Cascadia of Boise
- Skilled Nursing Facility
- Boise, ID
- NPI 1295249241
Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC
-
dba Arbor Valley of Cascadia
- Skilled Nursing Facility
- Boise, ID
- NPI 1063966638
Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC
-
- Skilled Nursing Facility
- Eagle, ID
- NPI 1447960307
Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Services LLC
-
dba Caldwell Care of Cascadia
- Skilled Nursing Facility
- Caldwell, ID
- NPI 1467978460
Cascadia Services LLC
-
dba Wellspring Health & Rehabilitation of Cascadia
- Skilled Nursing Facility
- Nampa, ID
- NPI 1699208280
Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services 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
-
- Skilled Nursing Facility
- Orofino, ID
- NPI 1760925572
Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC
-
dba Cherry Ridge of Cascadia
- Skilled Nursing Facility
- Emmett, ID
- NPI 1497388003
Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services 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
-
- 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
-
dba Teton Healthcare of Cascadia
- 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
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.
-
- Family Medicine Physician
- Coeur d'Alene, ID
- NPI 1134124506
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Spokane Valley, WA
- NPI 1083346050
Nursing home
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
- Coeur D Alene Dental Center
- Coeur D Alene Denture Clinic (Teethmakers DBA CDA Denture Clinic)
- Coeur D Alene Family Dentisrty
- Coeur D Alene Homes Phase II (Orchard Ridge Assisted Living)
- Coeur D Alene Massage School LLC
- Coeur D Alene Optical, Inc. (Post Falls Eye Clinic)
- Coeur D Alene Physical Therapy and Sports Medicine PA
- Coeur D Alene Plastic Surgery PLLC
- Coeur D Alene Primary Care PLLC
- Coeur D Alene Spine and Brain PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.