NPIMap

Organization Active NPI

Cascade Healthcare Community

  • Community Based Hospice Care Agency
  • Prineville, OR
National Provider Identifier
1609925536
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
13140239 Issued in OR
Legal business name
CASCADE HEALTHCARE COMMUNITY
Practice address
1201 NE Elm St
Prineville, OR 97754-1206
Phone
(541) 447-6254
Fax
(541) 447-2514
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Mr. Donald J Wee
Title
Chief Exec Officer
Phone
(541) 447-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 13140239 OR Primary

Addresses

Primary practice location

1201 NE Elm St
Prineville, OR 97754-1206

Mailing address

1201 NE Elm St
Prineville, OR 97754-1206
Phone (541) 447-6254

Other identifiers 1

IdentifierTypeStateIssuer
132055MedicaidOR

Other names 1

  • Pioneer Memorial Hospital Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080205000533 OR Part A Provider - Hospice 3870402852 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bend, OR; Prineville, OR

Hospice certification: CCN 381509

Legal name
ST CHARLES HEALTH SYSTEM INC
Doing business as
ST CHARLES HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 19, 1990
Last certification
Aug 4, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1971 in OR
Enrollment address
2275 NE Doctors Dr
Ste 4
Bend, OR 97701-6324

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cascade Healthcare Community2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
Shelly Handkins Individual Corporate DirectorBoard Member Jan 1, 2022
Steven G Gordon Individual Corporate DirectorBoard Member Sep 1, 2014
W-2 Managing Employee Jul 20, 2022
Matthew Swafford Individual Corporate Officer Aug 1, 2021
Chris McClellan Individual Corporate DirectorBoard Member Jan 1, 2025
Jenny Obrien Individual Corporate DirectorBoard Member Jan 1, 2021
Leslie McCalister Individual Operational/Managerial ControlMedical Director Mar 1, 2024 100%
James Orlikoff Individual Corporate DirectorBoard Member Jan 1, 2018
Ann Rhoads Individual Corporate DirectorBoard Member Jan 1, 2022
St Charles Health System Inc Organization, Bend, OR Non-profit Operational/Managerial Control Jan 1, 2008
Andrew Davidson Individual Corporate DirectorBoard Member Jan 1, 2025
Jennifer Schmid Individual Corporate DirectorBoard Member Aug 1, 2019
Glenn S Rodriguez Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

Medicare Care Compare
Listed as
St. Charles HospiceCCN 381509
Ownership
Non-Profit
Certified
Jan 19, 1990
Medicare certification status
ActiveFrom the Provider of Services file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1609925536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE ELM ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541206",
            "telephone_number": "541-447-6254",
            "fax_number": "541-447-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE ELM ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541206",
            "telephone_number": "541-447-6254",
            "fax_number": "541-447-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HEALTHCARE COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "WEE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXEC OFFICER",
        "authorized_official_telephone_number": "541-447-2501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "13140239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132055",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Memorial Hospital Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

Verify at the official NPI Registry.