NPIMap

Organization Active NPI

STCH Wayzata MN LLC

Doing business as St Croix Hospice

  • Community Based Hospice Care Agency
  • Minnetonka, MN
National Provider Identifier
1699558379
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
STCH WAYZATA MN LLC
Doing business as
St Croix Hospice
Practice address
13911 Ridgedale Dr Ste 190
Minnetonka, MN 55305-1700
Phone
(952) 746-9649
NPI assigned
Aug 16, 2023
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 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

13911 Ridgedale Dr Ste 190
Minnetonka, MN 55305-1700

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 MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240424000809 MN Part A Provider - Hospice 0042659039 Practice locations: Maple Grove, MN; Minnetonka, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699558379. Details of each certification follow.

Hospice certification: CCN 241623

Legal name
STCH WAYZATA MN LLC
Doing business as
ST CROIX HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 7, 2024
Last certification
Jul 24, 2024
Organization structure
LLCProprietary
Incorporated
Apr 5, 2023 in DE
Enrollment address
13911 Ridgedale Dr
Ste 190
Minnetonka, MN 55305-1700

Care Compare: Hospice

Medicare Care Compare
Listed as
St Croix HospiceCCN 241623 · All quality measures
Certified
Aug 7, 2024
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
24D2295076St Croix Hospice-Minnetonka13911 Ridgedale Dr Suite # 190, Minnetonka, MN 55305Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

13911 Ridgedale Dr
Ste 190
Minnetonka, MN 55305
Phone (952) 746-9649

7755 3rd St N
Oakdale, MN 55128
Phone (651) 783-5410

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 Apr 5, 2023 100%
Kathleen M Fritche Individual W-2 Managing EmployeeAd; Aug 7, 2024
Operational/Managerial ControlRdco/Administrator Aug 7, 2024
Andrew Graham Mayo Individual W-2 Managing EmployeeChief Medical Officer Apr 5, 2023
Operational/Managerial ControlChief Medical Officer Apr 5, 2023
Stephen C Phenneger Individual Corporate OfficerCfo and President Apr 5, 2023
Corporate DirectorCfo and President Apr 5, 2023
W-2 Managing EmployeeCfo and President Apr 5, 2023
Operational/Managerial ControlCfo and President Apr 5, 2023
TVG-STC Intermediate Corp Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 5, 2023 100%
STCH Acquisition Inc Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 5, 2023 100%
St Croix Hospice LLC Organization, Mendota Heights, MN LLC, Medical provider/supplier, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 5, 2023 100%
STCH Intermediate Inc Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 5, 2023 100%
Mandy L Cogswell Individual W-2 Managing EmployeeChief Clinical Officer Apr 5, 2023
Operational/Managerial ControlChief Clinical Officer Apr 5, 2023
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%
Thomas J Brennan Individual W-2 Managing EmployeeMD; Jan 1, 2025
Operational/Managerial ControlRegional Medical Director Aug 7, 2024
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%
STCH MN Holdco LLC Organization, Mendota Heights, MN Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 5, 2023 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, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 5, 2023 100%
STCH Parent Inc Organization, Mendota Heights, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 5, 2023 100%
Heath a Bartness Individual Corporate OfficerCeo Apr 5, 2023
Corporate DirectorCeo Apr 5, 2023
W-2 Managing EmployeeCeo Apr 5, 2023
Operational/Managerial ControlCeo Apr 5, 2023
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%

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.

  • St Croix Hospice LLC

    dba St Croix Hospice

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

    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
    • Oakdale, MN
    • NPI 1508018185

    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
    • 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, 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
  • STCH South Central MN Opco LLC

    dba St Croix Hospice

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

    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
  • STCH St Cloud LLC

    dba St Croix Hospice

    • Community Based Hospice Care Agency
    • Saint Cloud, MN
    • NPI 1689368144

    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, 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 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.

Affiliated clinicians 12

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": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1699558379",
    "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": "13911 RIDGEDALE DR STE 190",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051700",
            "telephone_number": "952-746-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STCH WAYZATA MN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.