OrganizationActive
Emerald Glen Management
NPI 1104012129 · Assisted Living Facility · Staunton, IL
Emerald Glen Management is a Assisted Living Facility organization in Staunton, IL (NPI 1104012129).
Provider details
- NPI number
- 1104012129
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Shelley Nuelle, Director of Operations(217) 821-9539
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
18192 Renken Road
Staunton, IL 62088
Phone: (618) 635-4012
Street-level locationGet directions
Mailing address
Po Box 771
Effingham, IL 62401
Registry dates
- Enumerated
- 2007-09-24
- Last updated
- 2007-09-24
Frequently asked questions
- What is Emerald Glen Management's NPI number?
- Emerald Glen Management's National Provider Identifier (NPI) is 1104012129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emerald Glen Management?
- Emerald Glen Management is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Emerald Glen Management located?
- Emerald Glen Management's practice location on file with NPPES is 18192 Renken Road, Staunton, IL 62088.
- What is Emerald Glen Management's phone number?
- The practice phone number listed in the NPPES registry for Emerald Glen Management is (618) 635-4012.
- Who is the authorized official for Emerald Glen Management?
- The authorized official listed on Emerald Glen Management's NPPES record is Shelley Nuelle, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emerald Glen Management's NPI active?
- Yes — Emerald Glen Management's NPI (1104012129) is active in the NPPES registry as of the last update on 2007-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.