NPIMap

Organization Active NPI

Residential Home Health of Southern Illinois, LLC

  • Home Health Agency
  • Glen Carbon, IL
National Provider Identifier
1811314495
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESIDENTIAL HOME HEALTH OF SOUTHERN ILLINOIS, LLC
Practice address
4215 S State Route 159
Glen Carbon, IL 62034-3267
Phone
(800) 642-6099
Fax
(888) 229-8388
NPI assigned
Mar 21, 2014
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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) 642-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

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

Mailing address

5440 Corporate Dr Ste 400
Troy, MI 48098-2645
Phone (866) 902-4000

Other names 1

  • Celtic Healthcare of S. IL, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140605002138 IL Part A Provider - Home Health Agency 2860616158 Practice locations: Glen Carbon, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811314495. Details of each certification follow.

Home health agency certification: CCN 147039

Legal name
RESIDENTIAL HOME HEALTH OF SOUTHERN ILLINOIS, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Dec 28, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 7, 2014 in PA
Enrollment address
4215 S State Route 159
Glen Carbon, IL 62034-3267

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Residential Home Health of Southern IllinoisCCN 147039 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0964864Residential Home Health of Southern Illinois4215 S State Route 159, Glen Carbon, IL 62034Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Celtic Healthcare 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.

Locations

4215 S State Route 159
Glen Carbon, IL 62034
Phone (800) 358-8227

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Sloaf Individual Operational/Managerial ControlDirector of Regulatory Affairs Oct 9, 2025
Leeann Lang Individual Corporate OfficerSenior VP of Administration Oct 9, 2025
Graham Healthcare Group Inc Organization, Troy, MI Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 15, 2016 100%
Deedrea Grein Individual Corporate OfficerCeo Dec 1, 2025
Graham Holdings Company Organization, Arlington, VA Holding company 5% Or Greater Indirect Ownership Interest Jun 15, 2016 100%
Jason Pierce Individual Corporate OfficerCfo Oct 9, 2025
Christine L Koniak Individual W-2 Managing EmployeeClinical Operations Manager Feb 10, 2015
Operational/Managerial ControlClinical Operations Manager Feb 10, 2015
Celtic Healthcare Inc & Qualified Subsidiaries Organization, Troy, MI Corporation, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2014 100%

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Affiliated clinicians 29

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1811314495",
    "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": "800-642-6099",
            "fax_number": "888-229-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL HOME HEALTH OF SOUTHERN ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "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": "800-642-6099"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celtic Healthcare of S. IL, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glen Carbon, IL

Sources for this page

Verify at the official NPI Registry.