Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Glenhaven Operations, LLC

Organization Assisted Living Facility · NPI 1013168202

Evergreen Glenhaven Operations, LLC is an Assisted Living Facility in Alton, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Glenhaven Dr
Alton, IL 62002-6700
Phone: (618) 462-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 3522842186220201 (IL)

Record details

NPI number1013168202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Underwood — Exec Vp & Cfo · (309) 823-7135
NPI enumeratedOctober 6, 2008
Last updated in NPPESMay 18, 2016
Mailing address115 W Jefferson St., Suite 401, Bloomington, IL 61701

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