Active NPI
Cascade Manor, Inc.
- Skilled Nursing Facility
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1221904933
- Legal business name
- CASCADE MANOR, INC.
- Practice address
- 65 W 30TH Ave
Eugene, OR 97405-3485 - Phone
- (541) 342-5901
- Fax
- (541) 434-4250
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Sornson
- Title
- Executive Director
- Phone
- (541) 658-9535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1221904933 | OR | Primary |
Addresses
Primary practice location
65 W 30TH Ave
Eugene, OR 97405-3485
Mailing address
65 W. 30TH Ave.
Eugene, OR 97405-3373
Phone (541) 342-5901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120111000917 | OR | Part A Provider - Skilled Nursing Facility | 2668577644 | Practice locations: Eugene, OR |
Skilled nursing facility certification: CCN 385276
- Legal name
- CASCADE MANOR, INC.
- Doing business as
- CASCADE MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Nov 26, 2012
- Last certification
- Mar 27, 2025
- Beds
- 32
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 1, 1961 in OR
- Enrollment address
- 65 W 30TH Ave
Eugene, OR 97405-3485 - Nursing home name
- CASCADE MANOR
- Affiliated entity
- PACIFIC RETIREMENT SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cascade Manor
- Overall star rating
- Health inspections
- Staffing
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Nov 26, 2012
- Medicare certification status
- Active
- Certified beds
- 32
- Chain
- Pacific Retirement Services
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0907170 | Cascade Manor | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
65 W 30th Ave
Eugene, OR 97405
Phone (541) 342-5901
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| William a Vanvactor | Corporate Officer | Oct 1, 2021 | |
| Corporate Director | Jul 1, 2011 | ||
| Janet Kiernan | Operational/Managerial Control | Jul 16, 2023 | |
| Adp of the SNF | Jul 16, 2023 | ||
| Donald V Hirst | Corporate Director | Oct 1, 2019 | |
| Hannah Dean | Corporate Officer | Oct 1, 2023 | |
| Corporate Director | Oct 1, 2023 | ||
| Anthony Sabatini | Operational/Managerial Control | Oct 17, 2024 | |
| Adp of the SNF | Oct 17, 2024 | ||
| Elizabeth Flores | Operational/Managerial Control | Oct 1, 2023 | |
| Adp of the SNF | Oct 1, 2023 | ||
| Kimberly Sorenson | Corporate Officer | Jul 10, 2023 | |
| Operational/Managerial Control | Jul 10, 2023 | ||
| Adp of the SNF | Jul 10, 2023 | ||
| Pacific Retirement Services Inc | Adp of the SNF | Mar 4, 2026 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Tualatin, OR
- NPI 1275738783
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
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": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1932258563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 W. 30TH AVE.",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053373",
"telephone_number": "541-342-5901",
"fax_number": "541-434-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 W 30TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053485",
"telephone_number": "541-342-5901",
"fax_number": "541-434-4250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE MANOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "SORNSON",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "541-658-9535"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OR",
"license": "1221904933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.