Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shaw Mountain of Cascadia, LLC

Organization Skilled Nursing Facility · NPI 1700245594

Shaw Mountain of Cascadia, LLC is a Skilled Nursing Facility in Boise, Idaho. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

909 E Reserve St
Boise, ID 83712-6508
Phone: (208) 343-7717
Fax: (208) 692-9909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1700245594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Owen Hammond — President · (208) 401-9600
Other names Shaw Mountain Of Cascadia; Shaw Mountain Of Cascadia
NPI enumeratedFebruary 22, 2016
Last updated in NPPESJanuary 23, 2024
Certification dateAugust 19, 2022
Mailing address909 E Reserve St, Boise, ID 83712-6508

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