WILLOW RIDGE HOSPICE LLC
NPI 1972228310
Hospice Care, Community Based in Havana, IL

Active since October 07, 2022CLIA 14D2273614 · Waiver
536 S SCHRADER AVE, HAVANA, IL 62644(309) 338-3635 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow Ridge Hospice Llc NPPES

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

WILLOW RIDGE HOSPICE LLC (NPI 1972228310) is a healthcare organization registered as a hospice care, community based in Havana, Illinois and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Hallie S Decapp, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1972228310
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameWILLOW RIDGE HOSPICE LLC
Location Address536 S SCHRADER AVEHavana, IL 62644-1770
Mailing Address536 S Schrader AveHavana, IL 62644-1770
Organization SubpartNo
Authorized OfficialHallie S DecappOwner/ceo · (309) 338-3635
Enumeration DateOctober 7, 2022
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedDecember 22, 2023
NPI 1972228310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
536 S SCHRADER AVE, Havana, IL 62644

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 14D2273614

Willow Ridge Hospice · Havana, IL
Active · expires Dec 14, 2026
CLIA Number14D2273614
Laboratory TypeHospice
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorKylee Decapp
Laboratory Phone(309) 338-3635
Laboratory LocationWillow Ridge Hospice536 S Schrader Ave, Havana, IL 62644
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Willow Ridge Hospice, LLC (CMS certification number 141726), from CMS Care Compare.

Willow Ridge Hospice, LLC

Hospice · Havana, IL
OwnershipFor-Profit
CMS Certification Number141726
CMS RegionRegion 5
Medicare-Certified SinceAugust 28, 2023
Location536 South SchraderHavana, IL 62644

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 Willow Ridge Hospice LLC's NPI number?

The NPI number for Willow Ridge Hospice LLC is 1972228310. It was assigned to this organization in the NPPES registry on October 7, 2022.

Where is Willow Ridge Hospice LLC located?

Willow Ridge Hospice LLC is located at 536 S Schrader Ave, Havana, IL 62644. The listed phone number is (309) 338-3635.

What is Willow Ridge Hospice LLC's specialty?

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

Does Willow Ridge Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2273614) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Willow Ridge Hospice LLC a Medicare-certified hospice?

Yes. Willow Ridge Hospice, LLC is a Medicare-certified hospice (CMS certification number 141726), certified since August 28, 2023.

When was this NPI record last updated?

The NPPES record for Willow Ridge Hospice LLC was last updated on December 22, 2023. 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.