NPI age
1 years
Enumerated 2025-04-09
● Active Type 2 · Organization
Elegant Residential Living Inc
Elegant Residential Living Inc is 1 of 201 assisted living facility organizations in Idaho.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Katsilometes
Administrator
Last NPPES update
2025-04-09
Source: monthly bulk 2026-05
How this organization compares
Across 201 active assisted living facility providers in Idaho.
NPI age
1 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-04Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1256 Wright Ave Bldg 1234
Pocatello, ID 832025084
Mailing address
1256 Wright Ave Bldg 1234
Pocatello, ID 832025084
Authorized official
Jodie Katsilometes
Administrator
📞 2084789400
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.