Cascades at Lincoln County, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CASCADES AT LINCOLN COUNTY, LLC

Doing business as

Lincoln County Care Center

Practice address

511 E 4TH St
Shoshone, ID 83352-5380

Phone

(208) 886-2228

Fax

(208) 969-9107

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By 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

Darin McSpaddenNPI 1083740658

Title

Manager/Ceo

Phone

(801) 426-4905

Specialties & licenses 1

Addresses

Other names 1

• Lincoln County Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871200154. Details of each certification follow.

• CCN 135056 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 135056

Legal name

CASCADES AT LINCOLN COUNTY, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1974

Last certification

Apr 16, 2025

Beds

36

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Cascades Healthcare

Organization structure

LLCProprietary

Incorporated

Jun 8, 2022 in UT

Enrollment address

511 E 4TH St
Shoshone, ID 83352-5380

Nursing home name

LINCOLN COUNTY CARE CENTER

Affiliated entity

CASCADES HEALTHCARE

Listed as

Lincoln County Care CenterCCN 135056 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3626.9 residents per day on average

Chain

Cascades Healthcare19 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

All disclosed owners & managing parties 14

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 3

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

• Jason Williams Crump, PT

  • Physical Therapist
  • Provo, UT
  • NPI 1568599132

  Corporate Director

  CMS ownership
• Chad B Fullmer, M.P.T.

  • Physical Therapist
  • Provo, UT
  • NPI 1285760033

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Darin S. McSpadden, OTR

  • Occupational Therapist
  • Provo, UT
  • NPI 1083740658

  Corporate Director, Operational/Managerial Control

  CMS ownership

Practitioners 4

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.

• Darin S. McSpadden, OTR

  • Occupational Therapist
  • Provo, UT
  • NPI 1083740658
  Authorized official Same address or phone
• Steven Boehmer, DO

  • Family Medicine Physician
  • Burley, ID
  • NPI 1336563063
  NPD (past)
• Florian John Gies, MD

  • Family Medicine Physician
  • Gooding, ID
  • NPI 1598729824
  NPD (past)
• Chad B Fullmer, M.P.T.

  • Physical Therapist
  • Provo, UT
  • NPI 1285760033
  NPD (past)

Affiliated clinicians 1

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

• Steven Boehmer, DO

  • Family Medicine Physician
  • Burley, ID
  • NPI 1336563063

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1871200154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 N RIVER RUN DRIVE STE 140",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-426-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E 4TH ST",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525380",
            "telephone_number": "208-886-2228",
            "fax_number": "208-969-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADES AT LINCOLN COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "MCSPADDEN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "801-426-4905"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahs of Idaho (SUWS Adolescent & Youth Programs)
• Melissa Brown, RN
• Charolais Care IV, Inc (Lincoln County Care Center)
• Martha Mary Clements, PT
• Keith E Davis, M.D.
• Katelyn Rose Denison, RN
• Family Health Services Corporation

• Skilled Nursing Facility in Shoshone, ID
• Providers in Shoshone, 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 Nov 4, 2022; 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.