ASHTON MEMORIAL INC – NPI #1104665587
Residential Treatment Facility, Emotionally Disturbed Children

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

ASHTON MEMORIAL INC is a residential treatment facility located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1104665587 to ASHTON MEMORIAL INC on May 23, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASHTON MEMORIAL INC below.

NPI Profile for
ASHTON MEMORIAL INC

NPI Number
1104665587
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASHTON MEMORIAL INC
Primary location
2935 ROLLANDET ST
IDAHO FALLS, ID 83402-4654
Phone: (208) 542-2905 Fax: (208) 522-2427
Mailing address
PO BOX 838
ASHTON, ID 83420-0838
Phone: (208) 652-7461 Fax: (208) 652-7595
Organization Subpart
No
Authorized Official
SUZANNE BRADY
HR DIRECTOR/COMPLIANCE OFFICER
Phone: (208) 652-7461
Updated
Certification Date
May 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.