Idaho Falls North of Cascadia LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2062878291 Enrollment ID O20230515000832

Linked facilitiesFacilities

StatesStates

12 parties: 7 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Cascadia Hc Group LLC	1052824661	Organization	Operational/Managerial Control; Indirect Ownership Interest	100
Cascadia Holdco LLC	7315450921	Organization	Operational/Managerial Control; Indirect Ownership Interest	100
Cascadia Idaho Operations LLC	7618276767	Organization	Operational/Managerial Control; Direct Ownership Interest	100
Cascadia Healthcare LLC	2163721218	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Indirect Ownership Interest	100
Owen C Hammond	3779767058	Individual	Operational/Managerial Control; Indirect Ownership Interest	33.34
Stephen J Laforte	2567658933	Individual	Operational/Managerial Control; Indirect Ownership Interest	33.33
Timothy Nelson	7911134481	Individual	Operational/Managerial Control; Indirect Ownership Interest	33.33
Michael Davis	1557878378	Individual	Operational/Managerial Control; ADP of the SNF	—
James A Thomson	4183870744	Individual	Operational/Managerial Control; ADP of the SNF	—
Cascadia Services LLC	0941725626	Organization	Operational/Managerial Control; ADP of the SNF	—
Idaho Falls 840 Realty, LLC	0840707667	Organization	5% or Greater Security Interest; ADP of the SNF	100
White Oak Healthcare Finance LLC	6608203328	Organization	5% or Greater Security Interest	100

Cascadia Hc Group LLCPAC 1052824661
Organization100Operational/Managerial Control; Indirect Ownership Interest
Cascadia Holdco LLCPAC 7315450921
Organization100Operational/Managerial Control; Indirect Ownership Interest
Cascadia Idaho Operations LLCPAC 7618276767
Organization100Operational/Managerial Control; Direct Ownership Interest
Cascadia Healthcare LLCPAC 2163721218
Organization1005% or Greater Indirect Ownership Interest; Operational/Managerial Control
Owen C HammondPAC 3779767058
Individual33.34Operational/Managerial Control; Indirect Ownership Interest
Stephen J LafortePAC 2567658933
Individual33.33Operational/Managerial Control; Indirect Ownership Interest
Timothy NelsonPAC 7911134481
Individual33.33Operational/Managerial Control; Indirect Ownership Interest
Michael DavisPAC 1557878378
IndividualOperational/Managerial Control; ADP of the SNF
James A ThomsonPAC 4183870744
IndividualOperational/Managerial Control; ADP of the SNF
Cascadia Services LLCPAC 0941725626
OrganizationOperational/Managerial Control; ADP of the SNF
Idaho Falls 840 Realty, LLCPAC 0840707667
Organization1005% or Greater Security Interest; ADP of the SNF
White Oak Healthcare Finance LLCPAC 6608203328
Organization1005% or Greater Security Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Eagle Rock Health and Rehabilitation of Cascadia Idaho Falls North of Cascadia LLC 82 residents		Other disclo…	3.67	Ovr★☆☆☆☆Stf★★★☆☆Ins★☆☆☆☆QM★★★☆☆	82

Eagle Rock Health and Rehabilitation of Cascadia
Idaho Falls North of Cascadia LLC
Other disclosed role82 res3.67 HPRD
Overall 1Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
03/01/2023	Eagle Rock Health and Rehabilitation of Cascadia	Idaho Falls North of Cascadia LLC	The Evangelical Lutheran Good Samaritan Society	Buyer

03/01/2023
Eagle Rock Health and Rehabilitation of Cascadia (Buyer)
The Evangelical Lutheran Good Samaritan Society → Idaho Falls North of Cascadia LLC

Related CMS associates

Name match to Idaho Falls North of Cascadia LLC in FEC filings. Similar names may appear—confirm on FEC.gov.