Siouxland NE Opco LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SIOUXLAND NE OPCO LLC

Doing business as

St Croix Hospice

Practice address

3220 Plaza Dr Ste D
South Sioux City, NE 68776-3191

Phone

(651) 328-6934

NPI assigned

Nov 6, 2024

Last updated

May 27, 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

Stephen Phenneger

Title

Cfo and President

Phone

(612) 544-6133

Specialties & licenses 1

Addresses

Other names 1

• St Croix Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144043225. Details of each certification follow.

• CCN 281547 Hospice · Active · Details

Hospice certification: CCN 281547

Legal name

SIOUXLAND NE OPCO LLC

Doing business as

ST CROIX HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 7, 2012

Last certification

Oct 1, 2020

Ownership / control type

Non-Profit - Other

Most recent change of ownership

Dec 31, 2024

Organization structure

LLCProprietary

Enrollment address

3220 Plaza Dr
Ste D
South Sioux City, NE 68776-3191

Listed as

St. Croix HospiceCCN 281547 · All quality measures

Ownership

Non-Profit

Certified

Feb 7, 2012

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

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

• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Spirit Lake, IA
  • NPI 1659786259

  Member Of

  NPD member

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.

Owners & managing parties with NPI records 15

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

• Clayton Jepsen Hoberman, DO

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Omaha, NE
  • NPI 1073615209

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Andrew G Mayo, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1316059660

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Omaha, NE
  • NPI 1740553940

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Charles City, IA
  • NPI 1093128431

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Ankeny, IA
  • NPI 1114273828

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Albert Lea, MN
  • NPI 1437721750

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Sioux Falls, SD
  • NPI 1437733094

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Oakdale, MN
  • NPI 1508018185

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Spirit Lake, IA
  • NPI 1659786259

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Strawberry Point, IA
  • NPI 1689090326

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Grand Rapids, MN
  • NPI 1770142762

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Eau Claire, WI
  • NPI 1841601952

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Facilities with the same owner 36

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

• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Omaha, NE
  • NPI 1740553940

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• Adaptive Hospice LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1770180168

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• Adaptive Hospice LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Newburgh, IN
  • NPI 1982299558

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• Adaptive Hospice, LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Jeffersonville, IN
  • NPI 1093260697

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• CNS Hospice LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Troy, MI
  • NPI 1578830881

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• CS Mi Opco LLC

  dba St Croix Hospice Plymouth

  • Community Based Hospice Care Agency
  • Livonia, MI
  • NPI 1689304685

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• HCA Acquisition Holdings Inc

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Rockford, IL
  • NPI 1659301539

  Hig STCH II LP, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Midco Inc, SCHP Purchaser Inc, SCHP Topco Inc, St Croix Hospice Acquisition Corp, St Croix Hospice LLC, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermed

  CMS ownership
• Hometown Hospice & Homecare Inc

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Waukesha, WI
  • NPI 1508209438

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• Lexington Hospice Services LLC

  dba St Croix Hospice Lombard

  • Community Based Hospice Care Agency
  • Lombard, IL
  • NPI 1679660153

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• Nurses & Company Health Care Services Inc

  dba Nurses & Company Hospice Care

  • Community Based Hospice Care Agency
  • Saint Peters, MO
  • NPI 1871672493

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• Nurses & Company Hospice, LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Bolivar, MO
  • NPI 1174699003

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership
• Serenity Care Hospice Inc

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Harrisonville, MO
  • NPI 1730464033

  Hig STCH II LP, Partners Group Access PF 882 LP, Partners Group Daintree Credit Co-Invest LP, Partners Group Direct Equity V Eur, Partners Group Global Value Sicav, Qsuper Global Private Equity TR, SCHP Holdings LP, SCHP Intermediate Inc, SCHP Mid

  CMS ownership

Affiliated clinicians 9

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

• Melissa N. Austreim-Krell, M.D.

  • Family Medicine Physician
  • South Sioux City, NE
  • NPI 1942562129

  Hospice

  Care Compare affiliation
• Michael Brenner, M.D.

  • Family Medicine Physician
  • South Sioux City, NE
  • NPI 1114992674

  Hospice

  Care Compare affiliation
• David J Ensz, M.D.

  • Family Medicine Physician
  • South Sioux City, NE
  • NPI 1124245899

  Hospice

  Care Compare affiliation
• Austin T Granatowicz, MD

  • Family Medicine Physician
  • South Sioux City, NE
  • NPI 1184240533

  Hospice

  Care Compare affiliation
• Matthew J. Timm, MD

  • Family Medicine Physician
  • Pender, NE
  • NPI 1952345167

  Hospice

  Care Compare affiliation
• Thomas J Wente, DO

  • Family Medicine Physician
  • South Sioux City, NE
  • NPI 1538134002

  Hospice

  Care Compare affiliation
• Michael John Jung, MD

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1023093580

  Hospice

  Care Compare affiliation
• Jonathan James Olson, M.D.

  • Family Medicine Physician
  • Vermillion, SD
  • NPI 1881981561

  Hospice

  Care Compare affiliation
• Anastasia L. Searcy, D.O.

  • Family Medicine Physician
  • Vermillion, SD
  • NPI 1871793091

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1144043225",
    "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": "3220 PLAZA DR STE D",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763191",
            "telephone_number": "651-328-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND NE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Croix Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jo Sieps, O.D.
• Abshiro Siidow
• Siouxland Community Health Center (Siouxland Community Health Center Pharmacy of Nebraska)
• Siouxland Community Health Center (Siouxland Community Health Center of Nebraska)
• Siouxland Dental Health - South Sioux, LLC
• Andria Jean Sivill, CNA
• Brandy L Slater
• Laura J Slowey, OD
• Jordan Russell Slump, PHARMD
• Sharon Smith, MA,CCC-SP

• Community Based Hospice Care Agency in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Community Based Hospice Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.