EMERALD GLEN MANAGEMENT (NPI# 1104012129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104012129 |
| Entity Type | Organization |
| Organization Name | EMERALD GLEN MANAGEMENT |
| Practice Address |
18192 Renken Road Staunton IL 62088 |
| Mailing Address |
Po Box 771 Effingham IL 62401 |
| Practice Telephone | 6186354012 |
| Mailing Telephone | 2178219539 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | SHELLEY C NUELLE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2178219539 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | IL | Nursing & Custodial Care Facilities |
| Street Address |
18192 RENKEN ROAD |
| City | STAUNTON |
| State | IL |
| Zip Code | 62088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609431949 | Amanda Jane Settles | Occupational Therapy Assistant | 215 Heritage Manor-staunton, Staunton, IL 62088 | 2019-05-02 |
| 1891957130 | John Batista Caldieraro IIi | Dentist | 216 W Pennsylvania, Staunton, IL 62088 | 2008-06-27 |
| 1851649388 | South Macoupin Association for Special Education | Local Education Agency (LEA) | 701 N Deneen St, Staunton, IL 62088-1015 | 2012-08-15 |
| 1528401460 | Lisa Ann Scanzoni | Occupational Therapy Assistant | 708 N Deneen St, Staunton, IL 62088-1016 | 2013-04-10 |
| 1780635375 | Staunton School Dist 6 | Local Education Agency (LEA) | 801 N Deneen St, Staunton, IL 62088-1017 | 2006-05-16 |
| 1750881629 | Christina P Lawrence | Speech-Language Pathologist | 801 N Deneen St, Staunton, IL 62088-1017 | 2018-02-17 |
| 1316071731 | Janene Marie Parmentier | Rehabilitation Practitioner | 1043 Wolf Creek Ct, Staunton, IL 62088-1087 | 2007-03-15 |
| 1629069331 | Heritage Manor Staunton LLC | Skilled Nursing Facility | 215 W Pennsylvania St, Staunton, IL 62088-1127 | 2005-11-02 |
| 1538403241 | Heritage Manor - Staunton, LLC | Durable Medical Equipment & Medical Supplies | 215 W Pennsylvania St, Staunton, IL 62088-1127 | 2012-11-19 |
| 1093914798 | Shawn Christopher Davis | Chiropractor | 842 N Edwardsville St, Staunton, IL 62088-1156 | 2007-07-12 |
| Find all providers in zip 62088 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639582737 | Gahcr II Staunton Alf Trs Sub, LLC | Assisted Living Facility | 18192 Renken Rd, Staunton, IL 62088-2334 | 2014-06-05 |
| 1831224799 | Birch Gardens | Assisted Living Facility | 12 Royal Dr, Staunton, VA 24401-9379 | 2007-02-22 |
| 1659406544 | Royalcare | Assisted Living Facility | 17 Royal Dr, Staunton, VA 24401-9379 | 2007-02-22 |
| 1689718926 | Loyalton of Staunton | Assisted Living Facility | 1900 Hillsmere Ln, Staunton, VA 24401-1796 | 2007-02-19 |
| 1811555733 | Emeritol Lo Staunton LLC | Assisted Living Facility | 1900 Hillsmere Ln, Staunton, VA 24401-1796 | 2019-06-05 |
| 1629215652 | Envoy of Staunton, LLC | Assisted Living Facility | 512 Houston St, Staunton, VA 24401-3525 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190504 | The Manor At Jerseyville Glen, Lp | Assisted Living Facility | 904b Estates Dr, Jerseyville, IL 62052-2377 | 2020-10-06 |
| 1861008872 | Franciscan Communities, Inc. | Assisted Living Facility | 15624 Marian Dr, Homer Glen, IL 60491-6271 | 2020-09-16 |
| 1447865118 | Oakley Courts Assisted Living Community | Assisted Living Facility | 3117 W Kunkle Blvd, Freeport, IL 61032-6943 | 2020-09-10 |
| 1083233076 | Marley Oaks Assisted Living Residence | Assisted Living Facility | 12631 187th St, Mokena, IL 60448-8731 | 2020-04-10 |
| 1447884630 | Cedarhurst of Quincy Operator, LLC | Assisted Living Facility | 319 S 48th St, Quincy, IL 62305-0593 | 2020-02-26 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1841821014 | Generations At Oakton Arms, LLC | Assisted Living Facility | 1665 Oakton Pl, Des Plaines, IL 60018-6301 | 2020-01-28 |
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.