NPIMap

Organization Active NPI

Ashley Manor, LLC

  • Assisted Living Facility
  • Eagle, ID
National Provider Identifier
1376439075
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ASHLEY MANOR, LLC
Practice address
126 N Story Book Way
Eagle, ID 83616-4890
Phone
(208) 376-7298
NPI assigned
Jun 17, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kameron Lemon
Title
Member
Phone
(208) 250-5875

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

National Provider Directory

National Provider Directory
Tax ID family
Ashley Manor LLC (31 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

126 N Story Book Way
Eagle, ID 83616-4890

Mailing address

PO Box 1176
Meridian, ID 83680-1176
Phone (208) 376-7298

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2025.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1376439075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836801176",
            "telephone_number": "208-376-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N STORY BOOK WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164890",
            "telephone_number": "208-376-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "LEMON",
        "authorized_official_first_name": "KAMERON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-250-5875"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.