NPIMap

Organization Active NPI

Colfax of Cascadia, LLC

  • Skilled Nursing Facility
  • Colfax, WA
National Provider Identifier
1548929987
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COLFAX OF CASCADIA, LLC
Practice address
1150 W Fairview St
Colfax, WA 99111-9580
Phone
(208) 401-9600
NPI assigned
Dec 13, 2021
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Owen C Hammond
Title
President
Phone
(208) 401-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1150 W Fairview St
Colfax, WA 99111-9580

Mailing address

408 S Eagle Rd Ste 205
Eagle, ID 83616-6079
Phone (208) 401-9600

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 WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220425001091 WA Part A Provider - Skilled Nursing Facility 9234526179 Practice locations: Colfax, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548929987. Details of each certification follow.

Skilled nursing facility certification: CCN 505251

Legal name
COLFAX OF CASCADIA LLC
Doing business as
COLFAX HEALTH AND REHABILITATION OF CASCADIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 15, 1977
Last certification
Jun 14, 2025
Beds
55
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cascadia Healthcare
Most recent change of ownership
May 1, 2022
Organization structure
LLCProprietary
Enrollment address
1150 W Fairview St
Colfax, WA 99111-9580
Nursing home name
COLFAX HEALTH AND REHABILITATION OF CASCADIA
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Colfax Health and Rehabilitation of CascadiaCCN 505251 · 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 - Limited Liability company
Certified
Dec 15, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5543.7 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain
Penalties (3 years)
3Fines totaling $81,864

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
50D0719840Colfax Health and Rehabilitation of Cascadia1150 W Fairview St, Colfax, WA 99111Certificate of waiverApr 4, 2028

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
Bobbie Ann Gunkel Individual Operational/Managerial Control Aug 5, 2024
Adp of the SNF Jul 3, 2025
Cascadia Services LLC Organization, Eagle, ID LLC Operational/Managerial Control May 1, 2022
Adp of the SNF Jul 3, 2025
Cascadia HC Group LLC Organization, Eagle, ID LLC Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 100%
Thomas R Strobel Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Jul 3, 2025
Cascadia Healthcare LLC Organization, Eagle, ID LLC Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest May 1, 2022 100%
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 Operational/Managerial Control Jun 5, 2025
Direct Ownership Interest May 1, 2022 100%
Owen C Hammond Individual Operational/Managerial Control Apr 1, 2023
Indirect Ownership Interest May 1, 2022 33.34%
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 May 1, 2022 100%
Cascadia Holdco LLC Organization, Eagle, ID LLC Operational/Managerial Control Jun 5, 2025
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 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 5

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 3

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": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1548929987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S EAGLE RD STE 205",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166079",
            "telephone_number": "208-401-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W FAIRVIEW ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119580",
            "telephone_number": "208-401-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLFAX OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2023-06-05",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "C",
        "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": []
}

Other providers in Colfax, WA

Sources for this page

Verify at the official NPI Registry.