Maple Creek Hospice Inc
Organization Active NPI Community Based Hospice Care Agency · Sparta, IL
NPI 1477007458 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1477007458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- MAPLE CREEK HOSPICE INC
- Practice address
- 110 S Market St
Sparta, IL 62286-2062 - Phone
- (618) 443-4671
- NPI assigned
- Aug 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Kalyn Noel Glodo
- Title
- Administrator
- Phone
- (618) 443-4671
Owners & managing parties with NPI records 1
-
James Raymond Kirkpatrick, M.D., PH.D.
Facilities with the same owner 39
Affiliated clinicians 2
-
James Raymond Kirkpatrick, M.D., PH.D.
-
Charles J Willey, MD
Medicare Care Compare: Hospice
- Listed as
- Maple Creek Hospice Inc
- Ownership
- For-Profit
- Certified
- Oct 22, 2018
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Hospice certification: CCN 141698
- Legal name
- MAPLE CREEK HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 22, 2018
- Last certification
- Dec 29, 2021
- Ownership / control type
- Other
- Organization structure
- Corporation · Proprietary
- Incorporated
- Sep 15, 2016 in IL
- Enrollment address
- 110 S Market St
Sparta, IL 62286-2062
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| James R Kirkpatrick |
Contracted Managing Employee |
Feb 23, 2024 | |
| Yosef Manne |
5% Or Greater Indirect Ownership Interest |
Feb 23, 2024 | 10% |
| Kayln Glodo |
W-2 Managing Employee |
Feb 23, 2024 | |
| Naftali Friedman |
5% Or Greater Indirect Ownership Interest |
Feb 23, 2024 | 5% |
| Chaim Dov Winter |
5% Or Greater Indirect Ownership Interest |
Feb 23, 2024 | 5% |
| Il Hospice Investments, LLC |
5% Or Greater Direct Ownership Interest | Feb 23, 2024 | 100% |
| 10-26 Nationwide TR |
5% Or Greater Indirect Ownership Interest | Feb 23, 2024 | 37.5% |
| Menachem Winter |
5% Or Greater Indirect Ownership Interest |
Feb 23, 2024 | 5% |
| Judah Bienstock |
5% Or Greater Indirect Ownership Interest |
Feb 23, 2024 | 37.5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180703000416 | IL | Part a Provider - Hospice | 1658627740 | Practice locations: Sparta, IL |
National Provider Directory
Locations
706 S Saint Louis St
Sparta, IL 62286
Phone (618) 443-4671
301 Sovereign Ct
Ballwin, MO 63011
Phone (314) 631-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
110 S Market St
Sparta, IL 62286-2062
Mailing address
301 Sovereign CT
Ballwin, MO 63011-4441
Phone (314) 631-3000
Other providers in Sparta, IL
- Emily Loesing
- Courtney Louveau
- Carrie Ann Lutman
- Kristina Malawy
- Janet L Mansker Webb
- Marion Eye Centers LTD.
- Randal W McBride
- Medstar Ambulance Inc
- Medstar Ambulance Inc
- Mark A Meyerhoff
All providers in Sparta, IL · Community Based Hospice Care Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.