OrganizationActive
Evergreen Glenhaven Operations, LLC
NPI 1013168202 · Assisted Living Facility · Alton, IL
Provider details
- NPI number
- 1013168202
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Underwood, Exec Vp & Cfo(309) 823-7135
- License
- 3522842186220201 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Glenhaven Dr
Alton, IL 62002-6700
Phone: (618) 462-1500
Street-level locationGet directions
Mailing address
115 W Jefferson St.
Bloomington, IL 61701
Registry dates
- Enumerated
- 2008-10-06
- Last updated
- 2016-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.