OrganizationActive
Residential Hospice of Southern Illinois, LLC
NPI 1750009452 · Community Based Hospice Care Agency · Saint Louis, MO
Provider details
- NPI number
- 1750009452
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Justin Dewitte, President / Ceo(866) 902-4000
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8706 Manchester Rd Ste 102
Saint Louis, MO 63144-2733
Phone: (314) 266-0950
Street-level locationGet directions
Mailing address
5440 Corporate Dr Ste 400
Troy, MI 48098-2645
Other names (DBA / former)
- Doing business as
- Residential Hospice of E Mo
Registry dates
- Enumerated
- 2022-08-18
- Last updated
- 2022-08-18
- Certified
- 2022-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.