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GRANGEVILLE OF CASCADIA, LLC
NPI 1740942622
Skilled Nursing Facility in Grangeville, ID

Active since October 08, 2021CLIA 13D2259186 · Waiver
410 E NORTH 2ND ST, GRANGEVILLE, ID 83530(208) 983-1131 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2023, Sep 30, 2022, Oct 8, 2021 (3 updates tracked since 2021).

About Grangeville Of Cascadia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANGEVILLE OF CASCADIA, LLC (NPI 1740942622) is a healthcare organization registered as a skilled nursing facility in Grangeville, Idaho and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Owen C Hammond, President, as its authorized official.

NPPES Registry Identity

NPI1740942622
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRANGEVILLE OF CASCADIA, LLC
Location Address410 E NORTH 2ND STGrangeville, ID 83530-2258
Mailing Address2205 E Riverside Dr Ste 100Eagle, ID 83616-7621 · (208) 401-9600
Phone(208) 983-1131
Organization SubpartNo
Authorized OfficialOwen C HammondPresident · (208) 401-9600
Enumeration DateOctober 8, 2021
Last NPPES UpdateMay 24, 20243 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
✔ NPI 1740942622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
410 E NORTH 2ND ST, Grangeville, ID 83530
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2259186

Grangeville Of Cascadia LLC · Grangeville, ID
Active · expires May 2, 2028
CLIA Number13D2259186
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorMichael Bowlden
Laboratory Phone(208) 983-1131
Laboratory LocationGrangeville Of Cascadia LLC410 NE 2nd St, Grangeville, ID 83530
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED HEALTH CARE CORPORATION
Skilled Nursing Facility
410 E NORTH 2ND ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-1131
AHC MEDICAL SUPPLY, LLC
Durable Medical Equipment & Medical Supplies
410 E NORTH 2ND ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-1131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grangeville Of Cascadia, LLC's NPI number?

The NPI number for Grangeville Of Cascadia, LLC is 1740942622. It was assigned to this organization in the NPPES registry on October 8, 2021.

Where is Grangeville Of Cascadia, LLC located?

Grangeville Of Cascadia, LLC is located at 410 E North 2nd St, Grangeville, ID 83530. The listed phone number is (208) 983-1131.

What is Grangeville Of Cascadia, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Grangeville Of Cascadia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2259186) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grangeville Of Cascadia, LLC accept?

Health plans from Providence Health Plan list Grangeville Of Cascadia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grangeville Of Cascadia, LLC was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.