Residential Hospice of Southern Illinois, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC

Doing business as

Residential Palliative Care of Southern Illinois

Practice address

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

Phone

(800) 358-8227

Fax

(888) 229-8388

NPI assigned

Mar 27, 2019

Last updated

Jan 14, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen L Sloaf

Title

Manager of Regulatory Affairs

Phone

(800) 358-8227

Specialties & licenses 1

Addresses

Other names 2

• Residential Palliative Care of Southern Illinois Doing business as
• Celtic Hospice & Palliative Care Services of S. IL, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Residential Hospice of Southern Illinois, LLC

  • Community Based Hospice Care Agency
  • Glen Carbon, IL
  • NPI 1720405301

  3678797966

  Same PAC ID

Tax ID family

Celtic Hospice Palliative Care Services of S Il LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Residential Hospice of Southern Illinois, LLC

  • Community Based Hospice Care Agency
  • Glen Carbon, IL
  • NPI 1720405301
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirby L Klostermann, FNP

  • Nurse Practitioner
  • Glen Carbon, IL
  • NPI 1285829572
  Medicare reassignment Care Compare group NPD
• Farah Siddique, NP-C

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1417639501
  Medicare reassignment Care Compare group NPD
• Melissa Baker, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Troy, MI
  • NPI 1003369307

  IL

  Medicare reassignment NPD
• Lindsay Michelle Franks, FNP

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1831815893

  IL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1437610011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 CORPORATE DR STE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982645",
            "telephone_number": "866-902-4000",
            "fax_number": "866-903-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 S STATE ROUTE 159",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343267",
            "telephone_number": "800-358-8227",
            "fax_number": "888-229-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "SLOAF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER OF REGULATORY AFFAIRS",
        "authorized_official_telephone_number": "800-358-8227"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residential Palliative Care of Southern Illinois",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Celtic Hospice & Palliative Care Services of S. IL, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Renata K Regalado, DMD
• Samantha Jo Rehme, PA-C
• David A Reimers, D.O.
• Melissa Kate Render, CRNA
• Residential Home Health of Southern Illinois, LLC
• Residential Hospice of Southern Illinois, LLC
• James Alan Rhodes, D.C.
• Danielle Anderson Rice, RBT
• Hannah Marie Rich
• Abigail Richardson

• Adult Health Nurse Practitioner in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.