NPIMap

Organization Active NPI

Spokane of Cascadia, LLC

Doing business as Spokane Valley Health and Rehabilitation of Cascadia

  • Skilled Nursing Facility
  • Spokane Valley, WA
National Provider Identifier
1801506480
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPOKANE OF CASCADIA, LLC
Doing business as
Spokane Valley Health and Rehabilitation of Cascadia
Practice address
17121 E 8TH Ave
Spokane Valley, WA 99016-8556
Phone
(208) 401-9600
Fax
(208) 314-0639
NPI assigned
Dec 5, 2022
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 NU Primary

Addresses

Primary practice location

17121 E 8TH Ave
Spokane Valley, WA 99016-8556

Mailing address

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

Other names 1

  • Spokane Valley Health and Rehabilitation of Cascadia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519000607 WA Part A Provider - Skilled Nursing Facility 4486010303 Practice locations: Spokane Valley, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801506480. Details of each certification follow.

Skilled nursing facility certification: CCN 505099

Legal name
SPOKANE OF CASCADIA LLC
Doing business as
SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCADIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Aug 13, 2024
Beds
97
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cascadia Healthcare, LLC
Organization structure
LLCProprietary
Incorporated
Nov 30, 2022 in DE
Enrollment address
17121 E 8TH Ave
Spokane Valley, WA 99016-8556
Nursing home name
SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Spokane Valley Health and Rehabilitation of CascadCCN 505099 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9794.1 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain
Penalties (3 years)
2Fines totaling $21,762

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
50D0638734Spokane Valley Health and Rehabilitation17121 E 8TH Ave, Spokane Valley, WA 99016Certificate 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
Spokane Valley 17121 Realty, 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
Cascadia Services LLC Organization, Eagle, ID LLC Operational/Managerial Control Nov 30, 2022
Adp of the SNF Feb 12, 2025
Cascadia HC Group LLC Organization, Eagle, ID LLC, Owned by another organization or individual Indirect Ownership Interest Jun 5, 2025 100%
Jordan Barrett Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Oct 16, 2025
Cascadia Healthcare LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 30, 2022
Indirect Ownership Interest Jul 1, 2023 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, Owned by another organization or individual Direct Ownership Interest Jul 1, 2023 100%
Owen C Hammond Individual Operational/Managerial Control Jul 1, 2023
Indirect Ownership Interest Jul 1, 2023 33.34%
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
Michael G Meza Individual Operational/Managerial Control Nov 30, 2022
Adp of the SNF Feb 12, 2025
Cascadia Holdco LLC Organization, Eagle, ID LLC, Owned by another organization or individual 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 45

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

View all 45

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1801506480",
    "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",
            "fax_number": "208-314-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 E 8TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168556",
            "telephone_number": "208-401-9600",
            "fax_number": "208-314-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Valley Health and Rehabilitation of Cascadia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.