ASHTON MEMORIAL INC
NPI 1104665587
Residential Treatment Facility, Emotionally Disturbed Children in Idaho Falls, ID

Q: What is Ashton Memorial Inc's NPI number?

The NPI number for Ashton Memorial Inc is 1104665587. It was assigned to this organization in the NPPES registry on May 23, 2024. The provider is doing business as Gustafson House.

Q: What is Ashton Memorial Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since May 23, 2024

2935 ROLLANDET ST, IDAHO FALLS, ID 83402(208) 542-2905(208) 522-2427 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ashton Memorial Inc NPPES

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

ASHTON MEMORIAL INC (NPI 1104665587), doing business as Gustafson House, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Idaho Falls, Idaho and active in the NPI registry since May 2024. The organization lists Suzanne Brady, Hr Director/compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1104665587

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameASHTON MEMORIAL INC

Location Address2935 ROLLANDET STIdaho Falls, ID 83402-4654

Mailing AddressPo Box 838Ashton, ID 83420-0838 · (208) 652-7461 · Fax (208) 652-7595

Phone(208) 542-2905

Fax(208) 522-2427

Organization SubpartNo

Authorized OfficialSuzanne BradyHr Director/compliance Officer · (208) 652-7461

Enumeration DateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1104665587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

2935 ROLLANDET ST, Idaho Falls, ID 83402

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Other Names 1

Doing Business AsGustafson House

Other Providers at the Same Location NPPES 2

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

ASHTON MEMORIAL, INC.

Counselor (Mental Health)

2935 ROLLANDET ST
IDAHO FALLS, ID 83402

Bonneville County (208) 542-2905

DAVID JON HOFFMANN

Social Worker (Clinical)

2935 ROLLANDET ST
IDAHO FALLS, ID 83402

Bonneville County (208) 542-2905

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 Ashton Memorial Inc's NPI number?

The NPI number for Ashton Memorial Inc is 1104665587. It was assigned to this organization in the NPPES registry on May 23, 2024. The provider is doing business as Gustafson House.

Where is Ashton Memorial Inc located?

Ashton Memorial Inc is located at 2935 Rollandet St, Idaho Falls, ID 83402. The listed phone number is (208) 542-2905.

What is Ashton Memorial Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Ashton Memorial Inc was last updated on May 23, 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.