Mulberry Manor, Inc.
NPI 1164646550 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Anna, IL
Mulberry Manor, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Anna, IL (NPI 1164646550).
Provider details
- NPI number
- 1164646550
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joann Keller, Administrator(618) 833-6012
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mulberry Manor, Inc.'s NPI number?
- Mulberry Manor, Inc.'s National Provider Identifier (NPI) is 1164646550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mulberry Manor, Inc.?
- Mulberry Manor, Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mulberry Manor, Inc. located?
- Mulberry Manor, Inc.'s practice location on file with NPPES is 612 E Davie, Anna, IL 62906-0088.
- What is Mulberry Manor, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mulberry Manor, Inc. is (618) 833-6012.
- Who is the authorized official for Mulberry Manor, Inc.?
- The authorized official listed on Mulberry Manor, Inc.'s NPPES record is Joann Keller, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mulberry Manor, Inc.'s NPI active?
- Yes — Mulberry Manor, Inc.'s NPI (1164646550) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.