OrganizationActive
The Manor at Jerseyville Glen, Lp
NPI 1871190504 · Assisted Living Facility · Jerseyville, IL
Provider details
- NPI number
- 1871190504
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cynthia Rapp, Chief Operating Officer(618) 594-8581
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
904b Estates Dr
Jerseyville, IL 62052-2377
Phone: (618) 639-9710
Fax: (618) 639-9715
Street-level locationGet directions
Mailing address
904b Estates Dr
Jerseyville, IL 62052-2377
Other names (DBA / former)
- Doing business as
- Blackberry Cottage
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2020-10-06
- Certified
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.