1. Home
  2. Directory
  3. Illinois
  4. Glen Carbon
  5. Hospice Care Community Based
  6. NPI Profile

DOVER HOSPICE IL STL METRO, LLC
NPI 1629822358
Hospice Care, Community Based in Glen Carbon, IL

Active since April 17, 2024CLIA 14D2308268 · Waiver
2 GINGER CRK, GLEN CARBON, IL 62034(573) 760-3730 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dover Hospice Il Stl Metro, Llc NPPES

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

DOVER HOSPICE IL STL METRO, LLC (NPI 1629822358) is a healthcare organization registered as a hospice care, community based in Glen Carbon, Illinois and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 23, 2028 and lists Brandy Pratt, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629822358
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameDOVER HOSPICE IL STL METRO, LLC
Location Address2 GINGER CRKGlen Carbon, IL 62034-3413
Mailing Address300 Hunter Ave Ste 200Saint Louis, MO 63124-2328 · (314) 884-8817
Phone(573) 760-3730
Organization SubpartNo
Authorized OfficialBrandy PrattVice President · (573) 760-3730
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1629822358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
2 GINGER CRK, Glen Carbon, IL 62034
Open in Google Maps ↗

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 14D2308268

Dover Hospice Il Stl Metro, LLC · Glen Carbon, IL
Active · expires Jul 23, 2028
CLIA Number14D2308268
Laboratory TypeHospice
Certificate Effective DateJuly 24, 2026
Certificate Expiration DateJuly 23, 2028
Laboratory DirectorTara J. Simmons
Laboratory Phone(618) 961-8331
Laboratory LocationDover Hospice Il Stl Metro, LLC2 Ginger Creek Village, Glen Carbon, IL 62034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Dover Hospice Il Stl Metro, LLC's NPI number?

The NPI number for Dover Hospice Il Stl Metro, LLC is 1629822358. It was assigned to this organization in the NPPES registry on April 17, 2024.

Where is Dover Hospice Il Stl Metro, LLC located?

Dover Hospice Il Stl Metro, LLC is located at 2 Ginger Crk, Glen Carbon, IL 62034. The listed phone number is (573) 760-3730.

What is Dover Hospice Il Stl Metro, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Dover Hospice Il Stl Metro, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2308268) is associated with this NPI, valid through July 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dover Hospice Il Stl Metro, LLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.