Organization Active NPI

Emmett of Cascadia, LLC

Doing business as Cherry Ridge of Cascadia

  • Skilled Nursing Facility
  • Emmett, ID
National Provider Identifier
1497388003
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EMMETT OF CASCADIA, LLC
Doing business as
Cherry Ridge of Cascadia
Practice address
501 W Idaho Blvd
Emmett, ID 83617-9694
Phone
(208) 401-9600
NPI assigned
Feb 21, 2020
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 Primary

Addresses

Primary practice location

501 W Idaho Blvd
Emmett, ID 83617-9694

Mailing address

501 W Idaho Blvd
Emmett, ID 83617-9694
Phone (208) 401-9600

Other names 1

  • Cherry Ridge of Cascadia Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service?_ga=2.256233603.927568683.1685978531-1808492320.1685978531 Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200609001963 ID Part A Provider - Skilled Nursing Facility 5597186064 Practice locations: Emmett, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497388003. Details of each certification follow.

Skilled nursing facility certification: CCN 135095

Legal name
EMMETT OF CASCADIA LLC
Doing business as
CHERRY RIDGE OF CASCADIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 27, 1984
Last certification
Aug 22, 2024
Beds
40
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cascadia Healthcare
Organization structure
LLCProprietary
Incorporated
Dec 11, 2019 in DE
Enrollment address
501 W Idaho Blvd
Emmett, ID 83617-9694
Nursing home name
CHERRY RIDGE OF CASCADIA
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cherry Ridge of CascadiaCCN 135095 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 27, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4031.9 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain
Special focus status
SFF Candidate

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
13D0671101Emmett of Cascadia LLC501 W Idaho Blvd, Emmett, ID 83617Certificate 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 20, 2025
Adp of the SNF Jan 20, 2025
Cascadia HC Group LLC Organization, Eagle, ID LLC 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 Jun 1, 2020 100%
Operational/Managerial Control Jun 1, 2020
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 Jun 1, 2020 33.34%
Operational/Managerial Control Jun 1, 2020
Timberline Ohi Tenant 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
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 100%
Preston Rowe Individual Operational/Managerial Control Feb 16, 2026
Adp of the SNF Apr 9, 2026
Aaron Moorhouse Individual Operational/Managerial Control Oct 3, 2021
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 Jun 1, 2020 100%
Timothy Nelson Individual 5% Or Greater Indirect Ownership InterestPrincipal Jun 5, 2025 33.33%
Operational/Managerial Control 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 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": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1497388003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W IDAHO BLVD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179694",
            "telephone_number": "208-401-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W IDAHO BLVD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179694",
            "telephone_number": "208-401-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMETT OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "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": 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?_ga=2.256233603.927568683.1685978531-1808492320.1685978531",
            "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": "Cherry Ridge of Cascadia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherry Ridge of Cascadia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.