Grangeville of Cascadia, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRANGEVILLE OF CASCADIA, LLC

Practice address

410 E North 2ND St
Grangeville, ID 83530-2258

Phone

(208) 983-1131

NPI assigned

Oct 8, 2021

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740942622. Details of each certification follow.

• CCN 135080 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 135080

Legal name

GRANGEVILLE OF CASCADIA, LLC

Doing business as

GRANGEVILLE HEALTH AND REHABILITATION OF CASCADIA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1980

Last certification

Oct 25, 2024

Beds

60

Ownership / control type

Corporation

Multi-facility organization

Cascadia Healthcare Services

Organization structure

LLCProprietary

Incorporated

Sep 17, 2021 in DE

Enrollment address

410 E North 2ND St
Grangeville, ID 83530-2258

Nursing home name

GRANGEVILLE HEALTH & REHABILITATION OF CASCADIA

Affiliated entity

CASCADIA HEALTHCARE

Listed as

Grangeville Health & Rehabilitation of CascadiaCCN 135080 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6043.1 residents per day on average

Chain

Cascadia Healthcare46 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• John Bradley Rudolph, D.O.

  • Family Medicine Physician
  • Lewiston, ID
  • NPI 1548503022

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 46

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

• Bellevue of Cascadia, LLC

  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

  CMS ownership
• Boise of Cascadia, 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

  CMS ownership
• Boise West of Cascadia, 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

  CMS ownership
• Brookings of Cascadia, LLC

  • Skilled Nursing Facility
  • Eagle, ID
  • NPI 1447960307

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Services LLC

  CMS ownership
• Caldwell of Cascadia, LLC

  dba Caldwell Care of Cascadia

  • Skilled Nursing Facility
  • Caldwell, ID
  • NPI 1467978460

  Cascadia Services LLC

  CMS ownership
• Canyon County of Cascadia, 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

  CMS ownership
• Canyon West of Cascadia, 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

  CMS ownership
• Clearwater of Cascadia

  • Skilled Nursing Facility
  • Orofino, ID
  • NPI 1760925572

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Coeur D Alene of Cascadia

  • Skilled Nursing Facility
  • Coeur d'Alene, ID
  • NPI 1487197299

  Cascadia HC Group LLC, Cascadia Healthcare LLC, Cascadia Holdco LLC, Cascadia Idaho Operations LLC, Cascadia Services LLC

  CMS ownership
• Emmett of Cascadia, 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

  CMS ownership
• Idaho Falls North of Cascadia, 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

  CMS ownership
• Idaho Falls of Cascadia, 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

  CMS ownership

Affiliated clinicians 2

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

• Jack Casteel Bruner II, MD

  • Family Medicine Physician
  • Cottonwood, ID
  • NPI 1982607669

  Nursing home

  Care Compare affiliation
• Tema Lynn Jessup, DO

  • Family Medicine Physician
  • Cottonwood, ID
  • NPI 1073774196

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1740942622",
    "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": "410 E NORTH 2ND ST",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835302258",
            "telephone_number": "208-983-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGEVILLE OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "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": []
}

• Devn A Frandsen, DO
• Alyssa Frei, ATC, LAT
• Gardner & Gardner, PA (Cama Prairie Family Physicians)
• Cheryl Ann Geib, LMT
• Theresa Lynn Graber-Gimmeson, LPC
• Grangeville School District
• Grangeville School District #246
• Michael M. Greenwood
• Daniel C Griffis, MD
• Guymon Family Chiropractic LLC

• Skilled Nursing Facility in Grangeville, ID
• Providers in Grangeville, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.