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CANYON WEST OF CASCADIA, LLC
NPI 1770009680
Skilled Nursing Facility in Caldwell, ID

Active since August 22, 2017CLIA 13D0861690 · Waiver
2/5
Overall Rating
2814 S INDIANA AVE, CALDWELL, ID 83605(208) 459-0808 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2022, Jan 12, 2022, Aug 22, 2017 (3 updates tracked since 2017).

About Canyon West Of Cascadia, Llc NPPES

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

CANYON WEST OF CASCADIA, LLC (NPI 1770009680) is a healthcare organization registered as a skilled nursing facility in Caldwell, Idaho and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Owen Hammond, President, as its authorized official.

NPPES Registry Identity

NPI1770009680
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCANYON WEST OF CASCADIA, LLC
Location Address2814 S INDIANA AVECaldwell, ID 83605-5925
Mailing Address408 S Eagle Rd Ste 205Eagle, ID 83616-6079 · (208) 401-9600
Phone(208) 459-0808
Organization SubpartNo
Authorized OfficialOwen HammondPresident · (208) 401-9600
Enumeration DateAugust 22, 2017
Last NPPES UpdateMay 24, 20243 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
✔ NPI 1770009680 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.
2814 S INDIANA AVE, Caldwell, ID 83605
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, 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 13D0861690

Canyon West Of Cascadia · Caldwell, ID
Active · expires Aug 31, 2026
CLIA Number13D0861690
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael High
Laboratory Phone(208) 459-0808
Laboratory LocationCanyon West Of Cascadia2814 S Indiana Ave, Caldwell, ID 83605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Canyon West Of Cascadia, LLC Dba Canyon West Of Ca (CMS certification number 135051), from CMS Care Compare.

Canyon West Of Cascadia, LLC Dba Canyon West Of Ca

Nursing home · Caldwell, ID
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number135051
Certified Beds103 beds75 residents per day on average
Medicare & Medicaid Participant SinceMay 1, 1972
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
84.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.87 · LPN 0.73 · RN 0.54
3.14 hrs per resident per day
Weekend Nurse Staffing
2.48 hrs per resident per day
Physical Therapist Staffing
0.15 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
58.1%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 9

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

MRS. MICHELLE ANNE LAUFENBURGER MS, OTR/L
Occupational Therapist
2814 S INDIANA AVE
CALDWELL, ID 83605
Canyon County (208) 454-0380
SUSAN MOORE
Physical Therapist
2814 S INDIANA AVE
CALDWELL, ID 83605
Canyon County (208) 459-0808
SCOTT FORWOOD PTA
Physical Therapy Assistant
2814 S INDIANA AVE
CALDWELL, ID 83605
Canyon County (208) 454-0380
ORALIA BERMUDEZ
Occupational Therapy Assistant
2814 S INDIANA AVE
CALDWELL, ID 83605
Canyon County (208) 454-0380
BRANDON JENKINS
Case Manager/Care Coordinator
2814 S INDIANA AVE
CALDWELL, ID 83605
Canyon County (208) 514-8384
MARY LOUISE ELMORE COTA/L
Occupational Therapy Assistant
2814 S INDIANA AVE
CALDWELL, ID 83605
Canyon County (208) 454-0380
MR. DARREN MICHAEL STOUT COTA/L
Occupational Therapy Assistant
2814 S INDIANA AVE
CALDWELL, ID 83605
Canyon County (208) 454-0380
KINDRED NURSING CENTERS WEST, LLC
Skilled Nursing Facility
2814 S INDIANA AVE
CALDWELL, ID 83605
Canyon County (208) 459-0808

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 Canyon West Of Cascadia, LLC's NPI number?

The NPI number for Canyon West Of Cascadia, LLC is 1770009680. It was assigned to this organization in the NPPES registry on August 22, 2017.

Where is Canyon West Of Cascadia, LLC located?

Canyon West Of Cascadia, LLC is located at 2814 S Indiana Ave, Caldwell, ID 83605. The listed phone number is (208) 459-0808.

What is Canyon West Of Cascadia, LLC's specialty?

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

Does Canyon West Of Cascadia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0861690) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Canyon West Of Cascadia, LLC a Medicare-certified nursing home?

Yes. Canyon West Of Cascadia, LLC Dba Canyon West Of Ca is a Medicare-certified nursing home with 103 certified beds.

What quality rating does Canyon West Of Cascadia, LLC have?

CMS rates Canyon West Of Cascadia, LLC Dba Canyon West Of Ca 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Canyon West Of Cascadia, LLC accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Canyon West 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 Canyon West Of Cascadia, LLC was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.