Active NPI
STCH Moline Opco LLC
- Community Based Hospice Care Agency
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- STCH MOLINE OPCO LLC
- Practice address
- 1000 36TH Ave Ste 102
Moline, IL 61265-7141 - Phone
- (651) 328-6934
- NPI assigned
- Aug 27, 2024
- Last updated
- Aug 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Phenneger
- Title
- Cfo
- Phone
- (715) 781-0192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1000 36TH Ave Ste 102
Moline, IL 61265-7141
Mailing address
1000 36TH Ave Ste 102
Moline, IL 61265-7141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250919000399 | IL | Part A Provider - Hospice | 3678077807 | Practice locations: Moline, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174357875. Details of each certification follow.
Hospice certification: CCN 141747
- Legal name
- STCH MOLINE OPCO LLC
- Doing business as
- ST CROIX HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 14, 2025
- Last certification
- Nov 5, 2025
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC
- Enrollment address
- 1000 36TH Ave
Ste 102
Moline, IL 61265-7141
Care Compare: Hospice
Medicare Care Compare- Listed as
- St Croix Hospice
- Certified
- Nov 14, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2319709 | St Croix Hospice | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Albert Lea, MN
- NPI 1437721750
Member Of
Locations
1000 36th Ave
Ste 102
Moline, IL 61265
Phone (309) 272-1141
Ownership & related parties
All disclosed owners & managing parties 27
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Qsuper Global Private Equity TR | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.04% |
| Antares Capital LP | 5% Or Greater Security Interest | Feb 28, 2024 | 100% |
| Clayton Joseph Hoberman | W-2 Managing Employee | Nov 14, 2025 | |
| Operational/Managerial Control | Nov 14, 2025 | ||
| Andrew Graham Mayo | W-2 Managing Employee | Feb 28, 2024 | |
| Operational/Managerial Control | Feb 28, 2024 | ||
| Stephen C Phenneger | Corporate Officer | Feb 28, 2024 | |
| Corporate Director | Feb 28, 2024 | ||
| W-2 Managing Employee | Feb 28, 2024 | ||
| Operational/Managerial Control | Feb 28, 2024 | ||
| The State Public Sector | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.04% |
| TVG-STC Intermediate Corp | 5% Or Greater Indirect Ownership Interest | Feb 28, 2024 | 100% |
| Tamila Johnson-White | W-2 Managing Employee | May 1, 2026 | |
| Operational/Managerial Control | May 1, 2026 | ||
| STCH Acquisition Inc | 5% Or Greater Indirect Ownership Interest | Feb 28, 2024 | 100% |
| St Croix Hospice LLC | 5% Or Greater Indirect Ownership Interest | Feb 28, 2024 | 100% |
| STCH Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Feb 28, 2024 | 100% |
| Kara Sears | W-2 Managing Employee | Aug 1, 2025 | |
| Operational/Managerial Control | Aug 1, 2025 | ||
| Mandy L Cogswell | W-2 Managing Employee | Feb 28, 2024 | |
| Operational/Managerial Control | Feb 28, 2024 | ||
| Hig STCH II LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 13.71% |
| SCHP Holdings LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| SCHP Topco Inc | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| Partners Group Access PF 882 LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 60.09% |
| St Croix Hospice Acquisition Corp | 5% Or Greater Indirect Ownership Interest | Feb 28, 2024 | 100% |
| STCH Parent Inc | 5% Or Greater Indirect Ownership Interest | Feb 28, 2024 | 100% |
| Heath a Bartness | Corporate Officer | Feb 28, 2024 | |
| Corporate Director | Feb 28, 2024 | ||
| W-2 Managing Employee | Feb 28, 2024 | ||
| Operational/Managerial Control | Feb 28, 2024 | ||
| SCHP Midco Inc | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| Partners Group Daintree Credit Co-Invest LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.04% |
| SCHP Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| Partners Group Direct Equity V Eur | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.9% |
| STCH Il Holdco LLC | 5% Or Greater Direct Ownership Interest | Feb 28, 2024 | 100% |
| SCHP Purchaser Inc | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| Partners Group Global Value Sicav | 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.
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Omaha, NE
- NPI 1073615209
Operational/Managerial Control, W-2 Managing Employee
-
- Family Medicine Physician
- Omaha, NE
- NPI 1316059660
Operational/Managerial Control, W-2 Managing Employee
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Charles City, IA
- NPI 1093128431
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Ankeny, IA
- NPI 1114273828
5% Or Greater Indirect Ownership Interest
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Albert Lea, MN
- NPI 1437721750
5% Or Greater Indirect Ownership Interest
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Sioux Falls, SD
- NPI 1437733094
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Oakdale, MN
- NPI 1508018185
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Spirit Lake, IA
- NPI 1659786259
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Strawberry Point, IA
- NPI 1689090326
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Omaha, NE
- NPI 1740553940
5% Or Greater Indirect Ownership Interest
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Grand Rapids, MN
- NPI 1770142762
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Eau Claire, WI
- NPI 1841601952
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 36
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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 Il Holdco LLC, STCH Intermediate Inc, STCH Parent I
-
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
-
dba St Croix Hospice Des Plains
- Community Based Hospice Care Agency
- Palos Heights, IL
- NPI 1285151449
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Harvey, IL
- NPI 1154764124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1174357875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 36TH AVE STE 102",
"city": "MOLINE",
"state": "IL",
"postal_code": "612657141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 36TH AVE STE 102",
"city": "MOLINE",
"state": "IL",
"postal_code": "612657141",
"telephone_number": "651-328-6934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STCH MOLINE OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "PHENNEGER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "715-781-0192"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.