CS Mi Opco LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CS MI OPCO LLC

Practice address

17177 N Laurel Park Dr Ste 410
Livonia, MI 48152-3951

Phone

(734) 822-9433

NPI assigned

Jun 13, 2022

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 Plymouth Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospice certification: CCN 231653

Legal name

CS MI OPCO LLC

Doing business as

ST CROIX HOSPICE PLYMOUTH

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 3, 2016

Last certification

Oct 3, 2016

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Apr 29, 2022 in DE

Enrollment address

17177 N Laurel Park Dr
Ste 410
Livonia, MI 48152-3951

Member of 1

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

• St Croix Hospice LLC

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

  Member Of

  NPD member

Locations

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.

Owners & managing parties with NPI records 15

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

• Andrey Lutskovsky, DO

  • Internal Medicine Physician
  • Bingham Farms, MI
  • NPI 1932390317

  Contracted Managing Employee, Operational/Managerial Control

  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

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

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

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  • 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.

• CNS Hospice LLC

  • 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
• Adaptive Hospice LLC

  • 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

  • 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

  • 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
• HCA Acquisition Holdings Inc

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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
• Silverado Hospice of Illinois Inc

  • 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

  CMS ownership
• Siouxland NE Opco LLC

  • Community Based Hospice Care Agency
  • South Sioux City, NE
  • NPI 1144043225

  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

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Corpore Sano Home Health Care Inc.

  • Community Based Hospice Care Agency
  • Plymouth, MI
  • NPI 1619347754

  Acquired from, 2022-06-01

  CMS change of ownership

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

• Maath Alani, MD

  • Internal Medicine Physician
  • Allen Park, MI
  • NPI 1518250133

  Hospice

  Care Compare affiliation
• Andrew Colman, DO

  • General Practice Physician
  • Westland, MI
  • NPI 1912983131

  Hospice

  Care Compare affiliation
• Andrey Lutskovsky, DO

  • Internal Medicine Physician
  • Bingham Farms, MI
  • NPI 1932390317

  Hospice

  Care Compare affiliation
• Ali H Mahmood, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1386643013

  Hospice

  Care Compare affiliation
• Ali Hikmat Mahmood, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Van Buren TWP, MI
  • NPI 1265954473

  Hospice

  Care Compare affiliation
• Prashant S Patel, M.D.

  • Hospitalist Physician
  • Shelby Township, MI
  • NPI 1689668543

  Hospice

  Care Compare affiliation
• Zeeshan Sharif, M.D.

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1689107393

  Hospice

  Care Compare affiliation
• Ala S. Shuker, M.D.

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1346217627

  Hospice

  Care Compare affiliation

Listed as

St Croix Hospice PlymouthCCN 231653

Ownership

For-Profit

Certified

Oct 3, 2016

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1689304685",
    "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": "17177 N LAUREL PARK DR STE 410",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523951",
            "telephone_number": "734-822-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS MI OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "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 Plymouth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Croix Hospice Plymouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Denise Crouch-Ross, MD
• Diamond Crowfield
• Bethany L Crunk, CCP
• Shyann Cruz
• Victor M Cruz, MD
• Heather Cubr
• Jennifer Lynn Cuedek
• Rudy Anthony Cueto, M.D.
• Joyce Cunningham
• Lisa A Cunningham

• All providers in Livonia, MI
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.