STCH St Cloud LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STCH ST CLOUD LLC

Doing business as

St Croix Hospice

Practice address

3315 Roosevelt Rd Ste 400
Saint Cloud, MN 56301-9689

Phone

(320) 201-5930

NPI assigned

Jun 7, 2023

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 MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689368144. Details of each certification follow.

• CCN 241620 Hospice · Active · Details

Hospice certification: CCN 241620

Legal name

STCH ST CLOUD LLC

Doing business as

ST CROIX HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 14, 2024

Last certification

Feb 14, 2024

Organization structure

LLCProprietary

Incorporated

Apr 5, 2023 in DE

Enrollment address

3315 Roosevelt Rd
Ste 400
Saint Cloud, MN 56301-9689

Listed as

St Croix HospiceCCN 241620 · All quality measures

Certified

Feb 14, 2024

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

Locations

All disclosed owners & managing parties 26

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 14

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

• Kelly J. Goeb, M.D.

  • Family Medicine Physician
  • Cromwell, MN
  • NPI 1992708564

  Operational/Managerial Control, W-2 Managing Employee

  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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • Eau Claire, WI
  • NPI 1841601952

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Council Bluffs, IA
  • NPI 1871840975

  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
  • Albert Lea, MN
  • NPI 1437721750

  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
• St Croix Hospice LLC

  dba St. Croix Hospice

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

  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
• St Croix Hospice LLC

  dba St Croix Hospice

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

  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 Moose Lake Opco LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Moose Lake, MN
  • NPI 1982463139

  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
• STCH South Central MN Opco LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Mankato, MN
  • NPI 1619786852

  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
• STCH Wayzata MN LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Minnetonka, MN
  • NPI 1699558379

  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 MN Holdco LLC, STCH Parent I

  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

Practitioners 1

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.

• Katrina Leigh Fasen, NP

  • Family Nurse Practitioner
  • Saint Cloud, MN
  • NPI 1497595540
  NPD (past)

Affiliated clinicians 41

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

• Anthony G Amon, M.D.

  • Family Medicine Physician
  • Willmar, MN
  • NPI 1972526564

  Hospice

  Care Compare affiliation
• Harvey E Anderson, M.D.

  • Family Medicine Physician
  • Brainerd, MN
  • NPI 1467655308

  Hospice

  Care Compare affiliation
• Greg Alan Andrle, DO

  • Family Medicine Physician
  • Cambridge, MN
  • NPI 1770657884

  Hospice

  Care Compare affiliation
• Nathan R Brever, MD

  • Family Medicine Physician
  • Albany, MN
  • NPI 1346416880

  Hospice

  Care Compare affiliation
• Cynthia A Carlson, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1427035401

  Hospice

  Care Compare affiliation
• Jeffrey Cox, MD

  • Family Medicine Physician
  • North Branch, MN
  • NPI 1306808357

  Hospice

  Care Compare affiliation
• Brian John Dixon, MD

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1528096161

  Hospice

  Care Compare affiliation
• Tyler John Dunphy, MD

  • Internal Medicine Physician
  • Brainerd, MN
  • NPI 1164684320

  Hospice

  Care Compare affiliation
• Oluwatobi Olushoga Falade, MBBS

  • Family Medicine Physician
  • Saint Cloud, MN
  • NPI 1447813431

  Hospice

  Care Compare affiliation
• Ryan Michael Fox, MD

  • Family Medicine Physician
  • Onamia, MN
  • NPI 1154987485

  Hospice

  Care Compare affiliation
• James Freeman

  • Internal Medicine Physician
  • Brainerd, MN
  • NPI 1255319299

  Hospice

  Care Compare affiliation
• Bryan James Fritsch, D.O.

  • Internal Medicine Physician
  • Glencoe, MN
  • NPI 1417149113

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1689368144",
    "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": "3315 ROOSEVELT RD STE 400",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019689",
            "telephone_number": "320-201-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STCH ST CLOUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "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"
        }
    ]
}

• Steven Daniel Stasiewicz, NURSE PRACTITIONER
• Statewide Medical Transportation
• Joseph E Stattine, RPH
• Brandon Stavish
• Jerome John Stawarski
• Stearns County (Stearns County Human Services-Public Health)
• Aleah Lina O'Tara Stearns
• Brooke M Steckelberg
• Loretta Theresa Steckelberg, LICSW
• Colleen Walker Stedham, PSY.D

• Community Based Hospice Care Agency in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• 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.