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Emerald Glen Management

Emerald Glen Management is a healthcare organization registered as Assisted Living Facility in Staunton, IL, holding Type 2 (organization) NPI 1104012129 since 2007. The authorized official on file is Shelley Nuelle, Director of Operations.

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NPI 1104012129
Entity type Organization (Type 2)
Legal business name Emerald Glen Management
Practice address 18192 RENKEN ROAD, Staunton, IL, 62088
Phone 6186354012
Enumeration date 2007-09-24
Last updated in NPPES 2007-09-24

Authorized official

Name Shelley Nuelle
Title Director of Operations
Phone 2178219539

Taxonomy & classification

Taxonomy code Specialty Primary License State
310400000X Assisted Living Facility Primary IL
Copy-ready billing details
Provider: Emerald Glen Management
NPI: 1104012129
Taxonomy: 310400000X (Assisted Living Facility)
Address: 18192 RENKEN ROAD, Staunton, IL, 62088

Verify this record

Cross-check NPI 1104012129 against the authoritative CMS record: view Emerald Glen Management on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Emerald Glen Management?
NPPES lists Shelley Nuelle (Director of Operations) as the authorized official for this organization.
What is the NPI number for Emerald Glen Management?
The NPI for Emerald Glen Management is 1104012129, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-24.