Organization Active NPI

Serenity Care Hospice Inc

Doing business as St Croix Hospice

  • Community Based Hospice Care Agency
  • Harrisonville, MO
National Provider Identifier
1730464033
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
SERENITY CARE HOSPICE INC
Doing business as
St Croix Hospice
Practice address
811 Westchester Ave
Harrisonville, MO 64701-1784
Phone
(816) 380-3913
Fax
(816) 380-3912
NPI assigned
Oct 18, 2011
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Hospice Registered Nurse 163WH1000X MO

Addresses

Primary practice location

811 Westchester Ave
Harrisonville, MO 64701-1784

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 MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000857 MO Part A Provider - Hospice 1355516600 Practice locations: Harrisonville, MO; Independence, MO; Sedalia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730464033. Details of each certification follow.

Hospice certification: CCN 261648

Legal name
SERENITY CARE HOSPICE INC
Doing business as
ST CROIX HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 31, 2012
Last certification
Sep 12, 2018
Ownership / control type
Proprietary - Other
Organization structure
CorporationProprietary
Incorporated
Aug 5, 2011 in MO
Enrollment address
811 Westchester Ave
Harrisonville, MO 64701-1784

Care Compare: Hospice

Medicare Care Compare
Listed as
St. Croix HospiceCCN 261648 · All quality measures
Ownership
For-Profit
Certified
Oct 31, 2012
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
26D2034433Serenity Care Hospice, Inc811 Westchester Avenue, Harrisonville, MO 64701Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1175 Centre Pointe Cir
Saint Paul, MN 55120

1626 E Elm St
Harrisonville, MO 64701
Phone (816) 380-3913

2000 E Mechanic St
#3
Harrisonville, MO 64701
Phone (816) 380-3913

1524 E 23rd St S
Ste 101
Independence, MO 64055
Phone (816) 379-3302

2911 W Broadway Blvd
Ste 5
Sedalia, MO 65301
Phone (660) 329-9572

Ownership & related parties

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Qsuper Global Private Equity TR Organization, Brisbane Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.04%
Antares Capital LP Organization, Chicago, IL Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Oct 30, 2020 100%
Andrew Graham Mayo Individual W-2 Managing EmployeeChief Medical Officer Feb 28, 2020
Operational/Managerial ControlChief Medical Officer Feb 28, 2020
Stephen C Phenneger Individual Corporate OfficerCfo and President Oct 29, 2020
Corporate DirectorCfo and President Oct 29, 2020
W-2 Managing EmployeeCfo and President Oct 29, 2020
Operational/Managerial ControlCfo and President Oct 29, 2020
The State Public Sector Organization, Brisbane 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.04%
STCH Mo Holdco LLC Organization, Mendota Heights, MN Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 9, 2024 100%
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 Feb 28, 2020 100%
Tamila Johnson-White Individual W-2 Managing EmployeeChief Compliance Officer May 1, 2026
Operational/Managerial ControlChief Compliance Officer May 1, 2026
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 Oct 30, 2020 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 Feb 9, 2024 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 Oct 30, 2020 100%
Mandy L Cogswell Individual W-2 Managing EmployeeChief Clinical Officer Feb 28, 2020
Operational/Managerial ControlChief Clinical Officer Feb 28, 2020
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%
Kristen a Burkhardt Individual W-2 Managing EmployeeAd; Jan 31, 2026
Operational/Managerial ControlRdco/Administrator Jan 31, 2026
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%
April Ann McQuillen Individual W-2 Managing EmployeeMD; Apr 5, 2020
Operational/Managerial ControlRegional Medical Director Apr 5, 2020
Partners Group Access PF 882 LP Organization, Edinburgh Created for acquisition, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 60.09%
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 Feb 28, 2020 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 Oct 30, 2020 100%
Heath a Bartness Individual Corporate OfficerCeo Feb 28, 2020
Corporate DirectorCeo Feb 28, 2020
W-2 Managing EmployeeCeo Feb 28, 2020
Operational/Managerial ControlCeo Feb 28, 2020
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%
Partners Group Daintree Credit Co-Invest LP Organization, St Peter Port Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.04%
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%
Partners Group Direct Equity V Eur Organization, Kirchberg Corporation, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.9%
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%
SCH Acquisition 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 Feb 28, 2020 100%
Partners Group Global Value Sicav Organization, Leudelange Corporation, Private equity company, Owned by another organization or individual 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.

View all 15

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

Practitioners 2

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1730464033",
    "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": "811 WESTCHESTER AVE",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011784",
            "telephone_number": "816-380-3913",
            "fax_number": "816-380-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "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
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Croix Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonville, MO

Sources for this page

Verify at the official NPI Registry.