NPIMap

Organization Active NPI

Lewiston Center of Cascadia, LLC

  • Skilled Nursing Facility
  • Lewiston, ID
National Provider Identifier
1558022319
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LEWISTON CENTER OF CASCADIA, LLC
Practice address
2870 Juniper Dr
Lewiston, ID 83501-4720
Phone
(208) 746-2855
NPI assigned
Jan 4, 2022
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) 901-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2870 Juniper Dr
Lewiston, ID 83501-4720

Mailing address

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

Other names 1

  • Royal Plaza Health and Rehabilitation of Cascadia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220323001591 ID Part A Provider - Skilled Nursing Facility 7315332673 Practice locations: Lewiston, ID

Skilled nursing facility certification: CCN 135116

Legal name
LEWISTON CENTER OF CASCADIA, LLC
Doing business as
ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1993
Last certification
Apr 17, 2025
Beds
76
Ownership / control type
Corporation
Multi-facility organization
Cascadia Healthcare
Most recent change of ownership
Feb 1, 2022
Organization structure
LLCProprietary
Enrollment address
2870 Juniper Dr
Lewiston, ID 83501-4720
Nursing home name
ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Royal Plaza Health and Rehabilitation of CascadiaCCN 135116
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7670.4 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain

Processed by Care Compare on Aug 1, 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 23, 2025
Adp of the SNF Jan 23, 2025
Cascadia HC Group LLC Organization, Eagle, ID LLC Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 100%
John Bradley Rudolph Individual Operational/Managerial Control Jul 4, 2025
Adp of the SNF Jul 29, 2025
Cascadia Healthcare LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 27, 2021
Operational/Managerial Control Feb 1, 2022
Indirect Ownership Interest Feb 1, 2022 100%
Stephen J Laforte Individual Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 33.33%
Thomas Flemming Individual Operational/Managerial Control Feb 5, 2024
Adp of the SNF Jun 19, 2025
Owen C Hammond Individual Operational/Managerial Control Feb 1, 2022
Indirect Ownership Interest Feb 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 Aug 11, 2022 100%
Cascadia Holdco LLC Organization, Eagle, ID LLC Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 100%
Cascadia Idaho Operations LLC Organization, Eagle, ID LLC, Owned by another organization or individual Direct Ownership Interest Feb 1, 2022 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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1558022319",
    "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": "2870 JUNIPER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014720",
            "telephone_number": "208-746-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON CENTER OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "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": "208-901-9600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Plaza Health and Rehabilitation of Cascadia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royal Plaza Health and Rehabilitation of Cascadia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.