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EMERALD GLEN MANAGEMENT
NPI 1104012129
Assisted Living Facility in Staunton, IL

Active since September 24, 2007
18192 RENKEN ROAD, STAUNTON, IL 62088(618) 635-4012 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Glen Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD GLEN MANAGEMENT (NPI 1104012129) is a healthcare organization registered as an assisted living facility in Staunton, Illinois and active in the NPI registry since September 2007. The organization lists Shelley C Nuelle, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1104012129
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERALD GLEN MANAGEMENT
Location Address18192 RENKEN ROADStaunton, IL 62088
Mailing AddressPo Box 771Effingham, IL 62401 · (217) 821-9539
Phone(618) 635-4012
Organization SubpartNo
Authorized OfficialShelley C NuelleDirector Of Operations · (217) 821-9539
Enumeration DateSeptember 24, 2007
✔ NPI 1104012129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A 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.
18192 RENKEN ROAD, Staunton, IL 62088
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Glen Management's NPI number?

The NPI number for Emerald Glen Management is 1104012129. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Emerald Glen Management located?

Emerald Glen Management is located at 18192 Renken Road, Staunton, IL 62088. The listed phone number is (618) 635-4012.

What is Emerald Glen Management's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Emerald Glen Management was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.