Trinity Assisted Living of Idaho, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TRINITY ASSISTED LIVING OF IDAHO, INC

Doing business as

Crestwood Serenity
Trinity Home Living
Trinity at 1st Street2 more in Other names

Practice address

12423 W Lewis and Clark Dr
Boise, ID 83713-0014

Phone

(208) 810-3843

NPI assigned

May 21, 2024

Organization subpart

Yes

Parent organization

TRINITY ASSISTED LIVING OF IDAHO, INCAs reported in NPPES

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

Authorized official

Name

Elishia M Smith

Title

President

Phone

(208) 409-1090

Specialties & licenses 4

Addresses

Other names 8

• Crestwood Serenity Doing business as
• Trinity Home Living Doing business as
• Trinity at 1st Street Doing business as
• Trinity at First Street Doing business as
• Trinity at Lewis & Clark Doing business as
• Trinity Assisted Living Former legal business name
• Trinity Assisted Living Home Inc Other name
• Trinity Assisted Living of Idaho, Inc Other name

Part of

Trinity Assisted Living of Idaho Inc

Locations

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1881433852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CABARTON RD",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "836115004",
            "telephone_number": "208-409-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12423 W LEWIS AND CLARK DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130014",
            "telephone_number": "208-810-3843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E Overland Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426687",
            "country_code": "US",
            "telephone_number": "208-805-6711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1353 NW 1st St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836422205",
            "country_code": "US",
            "telephone_number": "208-284-1056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1476 W Crest Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836422498",
            "country_code": "US",
            "telephone_number": "208-807-7403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1448 W Crest Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836422498",
            "country_code": "US",
            "telephone_number": "208-440-0344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY ASSISTED LIVING OF IDAHO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY ASSISTED LIVING OF IDAHO, INC",
        "enumeration_date": "2024-05-21",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELISHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-409-1090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood Serenity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crestwood Serenity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Home Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity at 1st Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity at First Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity at Lewis & Clark",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Assisted Living",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Trinity Assisted Living Home Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Trinity Assisted Living of Idaho, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Boise, ID
• Providers in Boise, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.