RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC
NPI 1437610011
Nurse Practitioner - Adult Health in Glen Carbon, IL

Active since March 27, 2019CLIA 14D1076564 · Waiver
4215 S STATE ROUTE 159, GLEN CARBON, IL 62034(800) 358-8227(888) 229-8388 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Residential Hospice Of Southern Illinois, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC (NPI 1437610011), doing business as Residential Palliative Care Of Southern Illinois, is a healthcare organization registered as an adult health in Glen Carbon, Illinois and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Karen L Sloaf, Manager Of Regulatory Affairs, as its authorized official.

NPPES Registry Identity

NPI1437610011
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameRESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC
Location Address4215 S STATE ROUTE 159Glen Carbon, IL 62034-3267
Mailing Address5440 Corporate Dr Ste 400Troy, MI 48098-2645 · (866) 902-4000 · Fax (866) 903-4000
Fax(888) 229-8388
Organization SubpartNo
Authorized OfficialKaren L SloafManager Of Regulatory Affairs · (800) 358-8227
Enumeration DateMarch 27, 2019
Last NPPES UpdateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
NPI 1437610011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
4215 S STATE ROUTE 159, Glen Carbon, IL 62034

Other Names 2

Doing Business AsResidential Palliative Care Of Southern Illinois
Former Legal Business NameCeltic Hospice & Palliative Care Services Of S. Il, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1076564

Residential Hospice Of Southern Illinois, L L C · Glen Carbon, IL
Active · expires Nov 15, 2027
CLIA Number14D1076564
Laboratory TypeHospice
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorTraci Saunders
Laboratory Phone(800) 358-8227
Laboratory LocationResidential Hospice Of Southern Illinois, L L C4215 S State Route 159, Glen Carbon, IL 62034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4215 S STATE ROUTE 159
GLEN CARBON, IL 62034
Hospice Care, Community Based
4215 S STATE ROUTE 159
GLEN CARBON, IL 62034
Home Health
4215 S STATE ROUTE 159
GLEN CARBON, IL 62034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Residential Hospice Of Southern Illinois, LLC's NPI number?

The NPI number for Residential Hospice Of Southern Illinois, LLC is 1437610011. It was assigned to this organization in the NPPES registry on March 27, 2019. The provider is doing business as Residential Palliative Care of Southern Illinois. The provider was formerly known as Celtic Hospice & Palliative Care Services of S. IL, LLC.

Where is Residential Hospice Of Southern Illinois, LLC located?

Residential Hospice Of Southern Illinois, LLC is located at 4215 S State Route 159, Glen Carbon, IL 62034. The listed phone number is (800) 358-8227.

What is Residential Hospice Of Southern Illinois, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Residential Hospice Of Southern Illinois, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1076564) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Residential Hospice Of Southern Illinois, LLC was last updated on January 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.