THE MANOR AT JERSEYVILLE GLEN, LP
NPI 1871190504
Assisted Living Facility in Jerseyville, IL

Q: What is The Manor At Jerseyville Glen, LP's NPI number?

The NPI number for The Manor At Jerseyville Glen, LP is 1871190504. It was assigned to this organization in the NPPES registry on October 6, 2020. The provider is doing business as Blackberry Cottage.

Q: What is The Manor At Jerseyville Glen, LP's specialty?

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

Active since October 06, 2020

904B ESTATES DR, JERSEYVILLE, IL 62052(618) 639-9710(618) 639-9715 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About The Manor At Jerseyville Glen, Lp NPPES

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

THE MANOR AT JERSEYVILLE GLEN, LP (NPI 1871190504), doing business as Blackberry Cottage, is a healthcare organization registered as an assisted living facility in Jerseyville, Illinois and active in the NPI registry since October 2020. The organization lists Cynthia Ann Rapp, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1871190504

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHE MANOR AT JERSEYVILLE GLEN, LP

Location Address904B ESTATES DRJerseyville, IL 62052-2377

Mailing Address904b Estates DrJerseyville, IL 62052-2377 · (618) 639-9710 · Fax (618) 639-9715

Phone(618) 639-9710

Fax(618) 639-9715

Organization SubpartNo

Authorized OfficialCynthia Ann RappChief Operating Officer · (618) 594-8581

Enumeration DateOctober 6, 2020

NPPES CertifiedOctober 6, 2020

✔ NPI 1871190504 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.

904B ESTATES DR, Jerseyville, IL 62052

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Other Names 1

Doing Business AsBlackberry Cottage

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 The Manor At Jerseyville Glen, LP's NPI number?

The NPI number for The Manor At Jerseyville Glen, LP is 1871190504. It was assigned to this organization in the NPPES registry on October 6, 2020. The provider is doing business as Blackberry Cottage.

Where is The Manor At Jerseyville Glen, LP located?

The Manor At Jerseyville Glen, LP is located at 904B Estates Dr, Jerseyville, IL 62052. The listed phone number is (618) 639-9710.

What is The Manor At Jerseyville Glen, LP'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 The Manor At Jerseyville Glen, LP was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.