Organization Active NPI

Adaptive Hospice, LLC

Doing business as St Croix Hospice

  • Community Based Hospice Care Agency
  • Jeffersonville, IN
National Provider Identifier
1093260697
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ADAPTIVE HOSPICE, LLC
Doing business as
St Croix Hospice
Practice address
2916 Peach Blossom Dr Ste 106
Jeffersonville, IN 47130-8380
Phone
(812) 590-1575
NPI assigned
Aug 24, 2016
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Stephen Phenneger
Title
Cfo and President
Phone
(612) 544-6133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2916 Peach Blossom Dr Ste 106
Jeffersonville, IN 47130-8380

Mailing address

1175 Centre Pointe Cir
Mendota Heights, MN 55120-5500
Phone (651) 328-6934

Other names 1

  • St Croix Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161129002575 IN Part A Provider - Hospice 1355621806 Practice locations: New Albany, IN; Seymour, IN; Jeffersonville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093260697. Details of each certification follow.

Hospice certification: CCN 151623

Legal name
ADAPTIVE HOSPICE LLC
Doing business as
ST CROIX HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 10, 2017
Last certification
Apr 10, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 22, 2016 in IN
Enrollment address
2916 Peach Blossom Dr
Ste 106
Jeffersonville, IN 47130-8380

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
St Croix HospiceCCN 151623 · All quality measures
Ownership
For-Profit
Certified
Apr 10, 2017
Medicare certification status
ActiveFrom the Provider of Services file

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
15D2122248Adaptive Hospice, LLC2916 Peach Blossom Drive, Suite 106, Jeffersonville, IN 47130Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Adaptive Hospice LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2916 Peach Blossom Dr
Jeffersonville, IN 47130
Phone (812) 202-6144

702 N Shore Dr
Ste 103
Jeffersonville, IN 47130

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Melissa a Andrews Individual Contracted Managing EmployeeInterim Chief Compliance Officer Oct 24, 2025
Operational/Managerial ControlInterim Chief Compliance Officer Oct 24, 2025
Qsuper Global Private Equity TR Organization, Brisbane Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.04%
Antares Capital LP Organization, Chicago, IL Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Aug 1, 2022 100%
Andrew Graham Mayo Individual W-2 Managing EmployeeChief Medical Officer Aug 1, 2022
Operational/Managerial ControlChief Medical Officer Aug 1, 2022
Stephen C Phenneger Individual Corporate OfficerCfo and President Aug 1, 2022
Corporate DirectorCfo and President Aug 1, 2022
W-2 Managing EmployeeCfo and President Aug 1, 2022
Operational/Managerial ControlCfo and President Aug 1, 2022
The State Public Sector Organization, Brisbane 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.04%
TVG-STC Intermediate Corp Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
STCH Acquisition Inc Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
St Croix Hospice LLC Organization, Mendota Heights, MN LLC, Medical provider/supplier, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
STCH in Holdco LLC Organization, Mendota Heights, MN Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
STCH Intermediate Inc Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Mandy L Cogswell Individual W-2 Managing EmployeeChief Clinical Officer Aug 1, 2022
Operational/Managerial ControlChief Clinical Officer Aug 1, 2022
Hig STCH II LP Organization, Miami, FL Created for acquisition, Investment firm, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 13.71%
William C Thomas Individual W-2 Managing EmployeeAd; Mar 21, 2017
Operational/Managerial ControlRdco/Administrator Mar 21, 2017
Adam a a French Individual Contracted Managing EmployeeMD; Oct 28, 2021
Operational/Managerial ControlMedical Director Oct 28, 2021
SCHP Holdings LP Organization, Broomfield, CO Created for acquisition, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 100%
SCHP Topco Inc Organization, Broomfield, CO Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 100%
Partners Group Access PF 882 LP Organization, Edinburgh Created for acquisition, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 60.09%
St Croix Hospice Acquisition Corp Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
STCH Parent Inc Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Heath a Bartness Individual Corporate OfficerCeo Aug 1, 2022
Corporate DirectorCeo Aug 1, 2022
W-2 Managing EmployeeCeo Aug 1, 2022
Operational/Managerial ControlCeo Aug 1, 2022
SCHP Midco Inc Organization, Broomfield, CO Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 100%
Partners Group Daintree Credit Co-Invest LP Organization, St Peter Port Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.04%
Haze Acquisitionco LLC Organization, Mendota Heights, MN Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2022 100%
SCHP Intermediate Inc Organization, Broomfield, CO Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 100%
Partners Group Direct Equity V Eur Organization, Kirchberg Corporation, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.9%
SCHP Purchaser Inc Organization, Broomfield, CO Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 100%
Partners Group Global Value Sicav Organization, Leudelange Corporation, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 9.3%

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1093260697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CENTRE POINTE CIR",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551205500",
            "telephone_number": "651-328-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 PEACH BLOSSOM DR STE 106",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308380",
            "telephone_number": "812-590-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "PHENNEGER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO AND PRESIDENT",
        "authorized_official_telephone_number": "612-544-6133"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Croix Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.