OrganizationActive
Emerald Glen Management
NPI 1104012129 · Assisted Living Facility · Staunton, IL
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(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.