Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elegant Residential Living Inc

Organization Assisted Living Facility · NPI 1154115400

Elegant Residential Living Inc is an Assisted Living Facility in Pocatello, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1256 Wright Ave Bldg 1234
Pocatello, ID 83202-5084
Phone: (208) 478-9400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1154115400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodie Katsilometes — Administrator · (208) 478-9400
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address1256 Wright Ave Bldg 1234, Pocatello, ID 83202-5084

Other providers in Pocatello