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

NPI Status: Active since October 08, 2021

Contact Information

410 E NORTH 2ND ST
GRANGEVILLE, ID
ZIP 83530
Phone: (208) 983-1131

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 13D2259186
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 05-02-2028

About GRANGEVILLE OF CASCADIA, LLC

This page provides the complete NPI Profile along with additional information for Grangeville Of Cascadia, Llc, a provider established in Grangeville, Idaho operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1740942622 assigned on October 2021. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Owen C Hammond (President)

NPI
1740942622
Provider Name
GRANGEVILLE OF CASCADIA, LLC
Entity Type
Organization
Location Address
410 E NORTH 2ND ST GRANGEVILLE, ID 83530
Location Phone
(208) 983-1131
Mailing Address
2205 E RIVERSIDE DR STE 100 EAGLE, ID 83616
Mailing Phone
(208) 401-9600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2021
Last Update Date
05-24-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OWEN C HAMMOND

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 401-9600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2259186
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
May 03, 2026
Certificate Expiration Date
May 02, 2028
Laboratory Director
MICHAEL BOWLDEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grangeville Of Cascadia, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740942622, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 8 + 4 + 4 + 6 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1740942622.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
410 E NORTH 2ND ST
GRANGEVILLE, ID 83530
Skilled Nursing Facility
410 E NORTH 2ND ST
GRANGEVILLE, ID 83530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740942622, enumerated as an "organization" on October 08, 2021.

The provider is located at 410 E NORTH 2ND ST GRANGEVILLE, ID 83530 and the phone number is (208) 983-1131.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.