NPIMap

Organization Active NPI

STCH de Pere Wi Opco LLC

Doing business as St Croix Hospice

  • Community Based Hospice Care Agency
  • Green Bay, WI
National Provider Identifier
1487378956
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
STCH DE PERE WI OPCO LLC
Doing business as
St Croix Hospice
Practice address
420 S Washington St Ste a
Green Bay, WI 54301-4217
Phone
(920) 305-7900
NPI assigned
Sep 28, 2022
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 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

420 S Washington St Ste a
Green Bay, WI 54301-4217

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 WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230220000769 WI Part A Provider - Hospice 6103298294 Practice locations: Fond Du Lac, WI; Neenah, WI; Green Bay, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487378956. Details of each certification follow.

Hospice certification: CCN 521616

Legal name
STCH DE PERE WI OPCO LLC
Doing business as
ST CROIX HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 20, 2023
Last certification
Mar 9, 2023
Organization structure
LLCProprietary
Incorporated
Jul 15, 2022 in DE
Enrollment address
420 S Washington St
Ste a
Green Bay, WI 54301-4217

Care Compare: Hospice

Medicare Care Compare
Listed as
St Croix Hospice de PereCCN 521616 · All quality measures
Certified
Mar 20, 2023
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
52D2276077St Croix Hospice - Green Bay420 S Washington St, Ste a, Green Bay, WI 54301Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

420 S Washington St
Ste A
Green Bay, WI 54301
Phone (920) 305-7900

1158 Westowne Dr
Neenah, WI 54956
Phone (920) 215-2050

Ownership & related parties

All disclosed owners & managing parties 21

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
Antares Capital LP Organization, Chicago, IL Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Jul 15, 2022 100%
Andrew Graham Mayo Individual W-2 Managing EmployeeChief Medical Officer Jul 15, 2022
Operational/Managerial ControlChief Medical Officer Jul 15, 2022
Stephen C Phenneger Individual Corporate OfficerCfo and President Jul 15, 2022
Corporate DirectorCfo and President Jul 15, 2022
W-2 Managing EmployeeCfo and President Jul 15, 2022
Operational/Managerial ControlCfo and President Jul 15, 2022
TVG-STC Intermediate Corp Organization, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 15, 2022 100%
STCH Acquisition Inc Organization, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 15, 2022 100%
St Croix Hospice LLC Organization, Oakdale, MN LLC, Medical provider/supplier, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 15, 2022 100%
STCH Intermediate Inc Organization, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 15, 2022 100%
Karisa a Stroetz Individual W-2 Managing EmployeeAd; Nov 5, 2023
Operational/Managerial ControlRdco/Administrator Nov 5, 2023
Mandy L Cogswell Individual W-2 Managing EmployeeChief Clinical Officer Jul 15, 2022
Operational/Managerial ControlChief Clinical Officer Jul 15, 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%
Glenn C Caine Individual Contracted Managing EmployeeMD; Apr 1, 2023
Operational/Managerial ControlMedical Director Apr 1, 2023
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%
St Croix Hospice Acquisition Corp Organization, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 15, 2022 100%
STCH Parent Inc Organization, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 15, 2022 100%
Heath a Bartness Individual Corporate OfficerCeo Jul 15, 2022
Corporate DirectorCeo Jul 15, 2022
W-2 Managing EmployeeCeo Jul 15, 2022
Operational/Managerial ControlCeo Jul 15, 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%
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%
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%
STCH Wi Holdco LLC Organization, Oakdale, MN Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 15, 2022 100%

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.

  • Hometown Hospice & Homecare Inc

    dba St Croix Hospice

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

    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, STCH Wi Holdco L

    CMS ownership
  • St Croix Hospice LLC

    dba St. Croix Hospice

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

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

    CMS ownership
  • St. Croix Hospice, LLC

    dba St. Croix Hospice

    • Community Based Hospice Care Agency
    • Baraboo, WI
    • NPI 1649589540

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

    CMS ownership
  • STCH NW Wi Opco LLC

    dba St Croix Hospice

    • Community Based Hospice Care Agency
    • Hudson, WI
    • NPI 1740166693

    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, STCH Wi Holdco L

    CMS ownership
  • STCH SW Wi Opco LLC

    dba St Croix Hospice

    • Community Based Hospice Care Agency
    • La Crosse, WI
    • NPI 1962388736

    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, STCH Wi Holdco L

    CMS ownership
  • STCH Wausau Wi LLC

    dba St. Croix Hospice

    • Community Based Hospice Care Agency
    • Wausau, WI
    • NPI 1932982618

    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, STCH Wi Holdco L

    CMS ownership
  • Adaptive Hospice LLC

    dba St Croix Hospice

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

    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
  • Adaptive Hospice LLC

    dba St Croix Hospice

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

    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
  • Adaptive Hospice, LLC

    dba St Croix Hospice

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

    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
  • CNS Hospice LLC

    dba St Croix Hospice

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

    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
  • CS Mi Opco LLC

    dba St Croix Hospice Plymouth

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

    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
  • 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
View all 36

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1487378956",
    "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": "420 S WASHINGTON ST STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014217",
            "telephone_number": "920-305-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STCH DE PERE WI OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Croix Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.