Emerald Glen Management in Staunton - Assisted Living Facility
Emerald Glen Management - NPI 1104012129
Emerald Glen Management is a Assisted Living Facility in Staunton, Illinois. Emerald Glen Management practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Emerald Glen Management is 1104012129. The last update date is 2007-09-24.
Emerald Glen Management's current location address is 18192 Renken Road, Staunton, Illinois. You can contact this provider via phone number 6186354012. The mailing address for Emerald Glen Management is 18192 Renken Road, Staunton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Emerald Glen Management |
|---|---|
| Address | 18192 Renken Road, Staunton, Illinois |
| Phone Number | 6186354012 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Nuelle C Shelley |
| Telephone Number | 2178219539 |
NPI Number Detail
| NPI Number | 1104012129 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 18192 Renken Road |
|---|---|
| City | Staunton |
| State | Illinois (IL) |
| Post Code | 62088 |
| Phone Number | 6186354012 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the unique 10-digit identifier code issued to Emerald Glen Management by the Centers for Medicare & Medicaid Services?
The Emerald Glen Management has been assigned the NPI (National Provider Identifier) 1104012129 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Emerald Glen Management's physical address?
The Emerald Glen Management is physically located at 18192 Renken Road, in the city of Staunton, IL, with the postal code 62088.
What is the area of specialization for Emerald Glen Management, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Emerald Glen Management is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of expertise is 310400000X.
On what date did the Emerald Glen Management receive the assignment of its 1104012129 from the Centers for Medicare & Medicaid Services?
The Emerald Glen Management was issued its 1104012129 by the Centers for Medicare & Medicaid Services on 2007-09-24.
As of what date were the details related to Emerald Glen Management most recently updated or revised?
The information pertaining to Emerald Glen Management, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-24.