Beverly Enterprises - Illinois, Inc.
NPI 1699868257 · Skilled Nursing Facility · Godfrey, IL
Beverly Enterprises - Illinois, Inc. is a Skilled Nursing Facility organization in Godfrey, IL (NPI 1699868257).
Provider details
- NPI number
- 1699868257
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Merrell, Vice President(479) 201-4840
Specialties & taxonomies
Nursing & Custodial Care 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
Other names (DBA / former)
- Doing business as
- Blu Fountain Manor
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Beverly Enterprises - Illinois, Inc.'s NPI number?
- Beverly Enterprises - Illinois, Inc.'s National Provider Identifier (NPI) is 1699868257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beverly Enterprises - Illinois, Inc.?
- Beverly Enterprises - Illinois, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Beverly Enterprises - Illinois, Inc. located?
- Beverly Enterprises - Illinois, Inc.'s practice location on file with NPPES is 1623 W. Delmar, Godfrey, IL 62035.
- What is Beverly Enterprises - Illinois, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Beverly Enterprises - Illinois, Inc. is (618) 466-0443.
- Who is the authorized official for Beverly Enterprises - Illinois, Inc.?
- The authorized official listed on Beverly Enterprises - Illinois, Inc.'s NPPES record is David Merrell, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beverly Enterprises - Illinois, Inc.'s NPI active?
- Yes — Beverly Enterprises - Illinois, Inc.'s NPI (1699868257) 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.