Organization · Type 2 NPI

Residential Hospice of Southern Illinois, LLC

Adult Health Nurse Practitioner · Glen Carbon, IL

NPI number 1437610011 Active

Practice location

4215 S State Route 159
Glen Carbon, IL 62034-3267

Call (800) 358-8227 Map

Fax (888) 229-8388

Mailing address

5440 Corporate Dr Ste 400
Troy, MI 48098-2645

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	None listed

Adult Health Nurse Practitioner: Definition to come...

3 other providers at this address

Residential Home Health of Southern Illinois, LLCHome Health Agency Glen Carbon, IL NPI 1811314495
Residential Hospice of Southern Illinois, LLCCommunity Based Hospice Care Agency Glen Carbon, IL NPI 1720405301
Amber BondOccupational Therapist Glen Carbon, IL NPI 1073354494

NPI record

NPI: 1437610011
Entity type: Organization (Type 2)
Issued: Mar 27, 2019
Last updated: Jan 14, 2026
Status: Active

Other names

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Residential Palliative Care of Southern Illinois · doing business as
Celtic Hospice & Palliative Care Services of S. Il, LLC · former legal business name

Authorized official

Karen L Sloaf
Manager of Regulatory Affairs
(800) 358-8227

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437610011

Residential Hospice of Southern Illinois, LLC's National Provider Identifier is 1437610011, issued on Mar 27, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Glen Carbon, IL. The record was last updated on Jan 14, 2026.