Ashton Memorial Inc
NPI 1104665587 · Emotionally Disturbed Childrens' Residential Treatment Facility · Idaho Falls, ID
Ashton Memorial Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Idaho Falls, ID (NPI 1104665587).
Provider details
- NPI number
- 1104665587
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Suzanne Brady, Hr Director/Compliance Officer(208) 652-7461
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Gustafson House
Registry dates
- Enumerated
- 2024-05-23
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Frequently asked questions
- What is Ashton Memorial Inc's NPI number?
- Ashton Memorial Inc's National Provider Identifier (NPI) is 1104665587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ashton Memorial Inc?
- Ashton Memorial Inc is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Ashton Memorial Inc located?
- Ashton Memorial Inc's practice location on file with NPPES is 2935 Rollandet St, Idaho Falls, ID 83402-4654.
- What is Ashton Memorial Inc's phone number?
- The practice phone number listed in the NPPES registry for Ashton Memorial Inc is (208) 542-2905.
- Who is the authorized official for Ashton Memorial Inc?
- The authorized official listed on Ashton Memorial Inc's NPPES record is Suzanne Brady, Hr Director/Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ashton Memorial Inc's NPI active?
- Yes — Ashton Memorial Inc's NPI (1104665587) is active in the NPPES registry as of the last update on 2024-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.