NPIMap

Organization Active NPI

Ashton Memorial, Inc.

Doing business as Ashton Living Center

  • Skilled Nursing Facility
  • Ashton, ID
National Provider Identifier
1497756803
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
26 Issued in ID
Legal business name
ASHTON MEMORIAL, INC.
Doing business as
Ashton Living Center
Practice address
700 N 2ND St
Ashton, ID 83420
Phone
(208) 652-7461
Fax
(208) 652-7595
NPI assigned
Aug 9, 2005
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suzanne Nielsen
Title
HR Director
Phone
(208) 652-7461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 26 ID Primary

Addresses

Primary practice location

700 N 2ND St
Ashton, ID 83420

Mailing address

PO Box 838
700 N 2ND St
Ashton, ID 83420-0838
Phone (208) 652-7461

Other identifiers 2

IdentifierTypeStateIssuer
2283000MedicaidID
02014OtherIDBLUE CROSS

Other names 1

  • Ashton Living Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030919000007 ID Part A Provider - Skilled Nursing Facility 7719898873 Practice locations: Ashton, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497756803. Details of each certification follow.

Skilled nursing facility certification: CCN 135097

Legal name
ASHTON MEMORIAL INC
Doing business as
ASHTON MEMORIAL LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 19, 1985
Last certification
Nov 8, 2024
Beds
38
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1950 in ID
Enrollment address
700 N 2ND St
Ashton, ID 83420-5105
Nursing home name
ASHTON MEMORIAL LIVING CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ashton Memorial Living CenterCCN 135097 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 19, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3825.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0520974Ashton Living Center700 N 2ND St, Ashton, ID 83420Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ashton Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1273 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-0787

1301 E 17th St
Ste 4
Idaho Falls, ID 83404
Phone (208) 523-0787

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Suzanne Nielsen Individual Operational/Managerial Control Dec 24, 2007
Adp of the SNF Dec 24, 2007
Shon L Shuldberg Individual Operational/Managerial Control Oct 1, 2009
Adp of the SNF Oct 1, 2009
Garth Blanchard Individual Corporate DirectorBoard of Director Member Sep 21, 2022
Michael Davidson Individual Corporate DirectorBoard of Director Member Sep 21, 2022
Michael Packer Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Oct 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1497756803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "address_2": "700 N 2ND ST",
            "city": "ASHTON",
            "state": "ID",
            "postal_code": "834200838",
            "telephone_number": "208-652-7461",
            "fax_number": "208-652-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N 2ND ST",
            "city": "ASHTON",
            "state": "ID",
            "postal_code": "83420",
            "telephone_number": "208-652-7461",
            "fax_number": "208-652-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTON MEMORIAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "208-652-7461"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02014",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashton Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashton, ID

Sources for this page

Verify at the official NPI Registry.