Organization Active NPI

Idaho Falls North of Cascadia, LLC

  • Skilled Nursing Facility
  • Idaho Falls, ID
National Provider Identifier
1972220473
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
IDAHO FALLS NORTH OF CASCADIA, LLC
Practice address
840 E Elva St
Idaho Falls, ID 83401-2801
Phone
(208) 401-9600
Fax
(208) 314-0639
NPI assigned
Oct 25, 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 Primary

Addresses

Primary practice location

840 E Elva St
Idaho Falls, ID 83401-2801

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service?_ga=2.256233603.927568683.1685978531-1808492320.1685978531 Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515000832 ID Part A Provider - Skilled Nursing Facility 2062878291 Practice locations: Idaho Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972220473. Details of each certification follow.

Skilled nursing facility certification: CCN 135092

Legal name
IDAHO FALLS NORTH OF CASCADIA LLC
Doing business as
EAGLE ROCK HEALTH AND REHABILITATION OF CASCADIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1981
Last certification
Feb 21, 2025
Beds
113
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Next Timberline Realty LLC
Organization structure
LLCProprietary
Incorporated
Oct 21, 2022 in DE
Enrollment address
840 E Elva St
Idaho Falls, ID 83401-2801
Nursing home name
EAGLE ROCK HEALTH AND REHABILITATION OF CASCADIA
Affiliated entity
CASCADIA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eagle Rock Health and Rehabilitation of CascadiaCCN 135092 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11381.9 residents per day on average
Chain
Cascadia Healthcare46 facilities in the chain
Penalties (3 years)
1Fines totaling $8,018

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
13D0675669Idaho Falls North of Cascadia LLC Dba840 E Elva Street, Idaho Falls, ID 83401Certificate of waiverAug 31, 2026

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
Idaho Falls 840 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 Oct 21, 2022
Adp of the SNF Jun 17, 2025
Cascadia HC Group LLC Organization, Eagle, ID LLC Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 100%
Michael Davis Individual Operational/Managerial Control Mar 3, 2025
Adp of the SNF Jul 2, 2025
Cascadia Healthcare LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 21, 2022 100%
Operational/Managerial Control Mar 1, 2023
Indirect Ownership Interest Mar 1, 2023 100%
Stephen J Laforte Individual Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 33.33%
Owen C Hammond Individual Operational/Managerial Control Mar 1, 2023
Indirect Ownership Interest Mar 1, 2023 33.34%
James a Thomson Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Jul 2, 2025
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 100%
Cascadia Holdco LLC Organization, Eagle, ID LLC Operational/Managerial Control Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025 100%
Cascadia Idaho Operations LLC Organization, Eagle, ID LLC Operational/Managerial Control Mar 1, 2023
Direct Ownership Interest Mar 1, 2023 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 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 2

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": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1972220473",
    "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": "840 E ELVA ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012801",
            "telephone_number": "208-401-9600",
            "fax_number": "208-314-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FALLS NORTH OF CASCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "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": 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": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.