Active NPI
Serenity Care Hospice Inc
Doing business as St Croix Hospice
- Community Based Hospice Care Agency
- Harrisonville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Oct 31, 2012
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2034433 | Serenity Care Hospice, Inc | Certificate of waiver | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Spirit Lake, IA
- NPI 1659786259
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Qsuper Global Private Equity TR | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.04% |
| Antares Capital LP | 5% Or Greater Security Interest | Oct 30, 2020 | 100% |
| Andrew Graham Mayo | W-2 Managing Employee | Feb 28, 2020 | |
| Operational/Managerial Control | Feb 28, 2020 | ||
| Stephen C Phenneger | Corporate Officer | Oct 29, 2020 | |
| Corporate Director | Oct 29, 2020 | ||
| W-2 Managing Employee | Oct 29, 2020 | ||
| Operational/Managerial Control | Oct 29, 2020 | ||
| The State Public Sector | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.04% |
| STCH Mo Holdco LLC | 5% Or Greater Indirect Ownership Interest | Feb 9, 2024 | 100% |
| TVG-STC Intermediate Corp | 5% Or Greater Indirect Ownership Interest | Feb 28, 2020 | 100% |
| Tamila Johnson-White | W-2 Managing Employee | May 1, 2026 | |
| Operational/Managerial Control | May 1, 2026 | ||
| STCH Acquisition Inc | 5% Or Greater Indirect Ownership Interest | Oct 30, 2020 | 100% |
| St Croix Hospice LLC | 5% Or Greater Indirect Ownership Interest | Feb 9, 2024 | 100% |
| STCH Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Oct 30, 2020 | 100% |
| Mandy L Cogswell | W-2 Managing Employee | Feb 28, 2020 | |
| Operational/Managerial Control | Feb 28, 2020 | ||
| Hig STCH II LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 13.71% |
| Kristen a Burkhardt | W-2 Managing Employee | Jan 31, 2026 | |
| Operational/Managerial Control | Jan 31, 2026 | ||
| SCHP Holdings LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| SCHP Topco Inc | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| April Ann McQuillen | W-2 Managing Employee | Apr 5, 2020 | |
| Operational/Managerial Control | Apr 5, 2020 | ||
| Partners Group Access PF 882 LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 60.09% |
| St Croix Hospice Acquisition Corp | 5% Or Greater Indirect Ownership Interest | Feb 28, 2020 | 100% |
| STCH Parent Inc | 5% Or Greater Indirect Ownership Interest | Oct 30, 2020 | 100% |
| Heath a Bartness | Corporate Officer | Feb 28, 2020 | |
| Corporate Director | Feb 28, 2020 | ||
| W-2 Managing Employee | Feb 28, 2020 | ||
| Operational/Managerial Control | Feb 28, 2020 | ||
| SCHP Midco Inc | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| Partners Group Daintree Credit Co-Invest LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.04% |
| SCHP Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| Partners Group Direct Equity V Eur | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.9% |
| SCHP Purchaser Inc | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 100% |
| SCH Acquisition LLC | 5% Or Greater Direct Ownership Interest | Feb 28, 2020 | 100% |
| Partners Group Global Value Sicav | 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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1316059660
Operational/Managerial Control, W-2 Managing Employee
-
- Family Medicine Physician
- New Hampton, IA
- NPI 1790905768
Operational/Managerial Control, W-2 Managing Employee
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Charles City, IA
- NPI 1093128431
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Ankeny, IA
- NPI 1114273828
5% Or Greater Indirect Ownership Interest
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Albert Lea, MN
- NPI 1437721750
5% Or Greater Indirect Ownership Interest
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Sioux Falls, SD
- NPI 1437733094
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Oakdale, MN
- NPI 1508018185
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Spirit Lake, IA
- NPI 1659786259
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Strawberry Point, IA
- NPI 1689090326
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Omaha, NE
- NPI 1740553940
5% Or Greater Indirect Ownership Interest
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Grand Rapids, MN
- NPI 1770142762
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Eau Claire, WI
- NPI 1841601952
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 36
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Nurses & Company Hospice Care
- 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
-
dba St Croix Hospice
- 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
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Arnold, MO
- NPI 1174344725
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
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Moberly, MO
- NPI 1851963391
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
-
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
-
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
-
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
-
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
-
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
-
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
-
dba St Croix Hospice
- 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
-
dba St Croix Hospice Lombard
- 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
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.
-
- Family Nurse Practitioner
- Harrisonville, MO
- NPI 1508679788
-
- Family Nurse Practitioner
- Sedalia, MO
- NPI 1285549212
Affiliated clinicians 27
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": "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
- Serc of Harrisonville LLC
- Serc of Harrisonville, L.L.C. (SERC of Harrisonville)
- Serc Rehabilitation Partners, LLC (Serc)
- Serc Rehabilitation Partners, LLC (SERC - Harrisonville)
- Serene Haven of Missouri LLC
- Sarah Sharp
- Shera a Sims D.D.S., PC
- Andrew Sherwood, LCSW
- Brittany Ann Shingleton
- Shining Steps ABA LLC
Sources for this page
- 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.