NPIMap

Organization Active NPI

Gem Medical Investors, LLC

Doing business as Life Care Center of Idaho Falls

  • Skilled Nursing Facility
  • Ammon, ID
National Provider Identifier
1780638296
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
44 Issued in ID
Legal business name
GEM MEDICAL INVESTORS, LLC
Doing business as
Life Care Center of Idaho Falls
Practice address
2725 E 17TH St
Ammon, ID 83406-6601
Phone
(208) 529-4567
Fax
(208) 529-4590
NPI assigned
May 20, 2006
Last updated
Jul 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Authorized official

Name
Cindy S. Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 44 ID Primary

Addresses

Primary practice location

2725 E 17TH St
Ammon, ID 83406-6601

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
0021307MedicaidID

Other names 1

  • Life Care Center of Idaho Falls Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622000391 ID Part A Provider - Skilled Nursing Facility 6709861966 Practice locations: Idaho Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780638296. Details of each certification follow.

Skilled nursing facility certification: CCN 135091

Legal name
GEM MEDICAL INVESTORS LLC
Doing business as
LIFE CARE CENTER OF IDAHO FALLS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1981
Last certification
Jan 10, 2025
Beds
109
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Care Centers of America
Organization structure
LLCProprietary
Enrollment address
2725 E 17TH Street
Idaho Falls, ID 83406
Nursing home name
LIFE CARE CENTER OF IDAHO FALLS
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of Idaho FallsCCN 135091 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10971.5 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
1Fines totaling $13,247

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
13D0520970Life Care Center of Idaho Falls2725 E 17TH St, Idaho Falls, ID 83406Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2725 E 17th St
Ammon, ID 83406
Phone (208) 529-4567

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Aug 9, 1994 99%
Adp of the SNF Dec 16, 2015
Indirect Ownership Interest Aug 9, 1994 1%
Terry Henry Individual Corporate OfficerAssistant Treasurer of MGMT. Co. Aug 16, 1999
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Dec 16, 2015
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Oct 23, 2015
Direct Ownership Interest Aug 9, 1994 1%
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Julie Ducharme Individual Operational/Managerial Control Oct 22, 2024
Managing Control - Governing BodyDirector of Nursing Oct 22, 2024
Joan E Thurmond Individual Corporate OfficerAssist. Secretary of MGMT. Co. Sep 22, 2000
Nancy Butner Individual Operational/Managerial Control Sep 16, 2018
Managing Control - Governing BodyDivision Vice President Sep 16, 2018
Cindy S Cross Individual Corporate OfficerVP / Assist. Secretary of MGMT. Co. Oct 1, 1994
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Mar 17, 2025
Robert V Deloach Individual Operational/Managerial Control Dec 2, 2024
Managing Control - Governing BodyAdministrator Dec 2, 2024
Adp of the SNF Mar 17, 2025
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT. Co. Apr 1, 2011
Corporate DirectorDirector of MGMT. Co. Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Oct 1, 1994
Adp of the SNF Mar 17, 2025
Wallace Coleman Baker Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Mar 17, 2025
Gem Medical Investors LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Oct 1, 1994
Adp of the SNF Dec 16, 2015
Lisa M Lay Individual Corporate OfficerSecretary of MGMT. Co. Feb 9, 2018
Corporate DirectorDirector of MGMT. Co. Apr 24, 2017
James Ziegler Individual Operational/Managerial Control Dec 13, 2024

Owners & managing parties with NPI records 26

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

View all 26

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1780638296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066601",
            "telephone_number": "208-529-4567",
            "fax_number": "208-529-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM MEDICAL INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021307",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Idaho Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ammon, ID

Sources for this page

Verify at the official NPI Registry.