Provider Demographics
NPI:1093422370
Name:CASCADES AT DESERT VIEW, LLC
Entity Type:Organization
Organization Name:CASCADES AT DESERT VIEW, LLC
Other - Org Name:CASCADES AT DESERT VIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCSPADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-426-4905
Mailing Address - Street 1:5314 N RIVER RUN DR STE 140
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604
Mailing Address - Country:US
Mailing Address - Phone:801-426-4905
Mailing Address - Fax:801-426-4953
Practice Address - Street 1:820 SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:BUHL
Practice Address - State:ID
Practice Address - Zip Code:83316-1827
Practice Address - Country:US
Practice Address - Phone:208-543-6401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility