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

The Manor at Jerseyville Glen, LP

Organization Assisted Living Facility · NPI 1871190504

The Manor at Jerseyville Glen, LP is an Assisted Living Facility in Jerseyville, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

904B Estates Dr
Jerseyville, IL 62052-2377
Phone: (618) 639-9710
Fax: (618) 639-9715
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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

Record details

NPI number1871190504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Rapp — Chief Operating Officer · (618) 594-8581
Other names Blackberry Cottage
NPI enumeratedOctober 6, 2020
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020
Mailing address904b Estates Dr, Jerseyville, IL 62052-2377

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