# ESTRELLA OF CASCADIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CASCADIA ARIZONA OPERATIONS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710598420
- **Legal business name:** CASCADIA ARIZONA OPERATIONS LLC
- **Authorized official:** MR. OWEN HAMMOND (PRESIDENT)
- **Authorized official phone:** (208) 401-9600

## Contact information

- **Practice address:** 2020 N 95TH AVE, PHOENIX, AZ 85037-4334
- **Practice address phone:** (206) 351-4535
- **Mailing address:** 2205 E RIVERSIDE DR STE 100, EAGLE, ID 83616-7621
- **Mailing address phone:** (208) 401-9600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2020
- **Last updated:** 05/24/2024