Organization Active NPI

STCH NW Wi Opco LLC

  • Community Based Hospice Care Agency
  • Hudson, WI
National Provider Identifier
1740166693
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
STCH NW WI OPCO LLC
Practice address
2220 Jack Breault Dr Ste 300
Hudson, WI 54016-4548
Phone
(534) 200-4502
NPI assigned
Aug 14, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stephen Phenneger
Title
Cfo and President
Phone
(612) 544-6133

Owners & managing parties with NPI records 15

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

Member of 1

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

Change of ownership 1

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

Facilities with the same owner 36

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

View all 36

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
St Croix Hospice HudsonCCN 521519
Ownership
Non-Profit
Certified
Mar 3, 1988
Medicare certification status
Active (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
52D2329361St Croix Hospice2220 Jack Breault Dr, Ste 300, Hudson, WI 54016Certificate of waiverAug 26, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Hospice certification: CCN 521519

Medicare enrollment files
Legal name
STCH NW WI OPCO LLC
Doing business as
ST CROIX HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 3, 1988
Last certification
Nov 14, 2008
Ownership / control type
Non-Profit - Private
Organization structure
LLCProprietary
Enrollment address
2220 Jack Breault Dr
Ste 300
Hudson, WI 54016-4548

All disclosed owners & managing parties 28

Medicare enrollment files

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
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 Jul 29, 2025 100%
Andrew Graham Mayo Individual W-2 Managing EmployeeChief Medical Officer Jul 29, 2025
Operational/Managerial ControlChief Medical Officer Jul 29, 2025
Stephen C Phenneger Individual Corporate OfficerCfo and President Jul 29, 2025
Corporate DirectorCfo and President Jul 29, 2025
W-2 Managing EmployeeCfo and President Jul 29, 2025
Operational/Managerial ControlCfo and President Jul 29, 2025
The State Public Sector Organization, Brisbane 5% Or Greater Indirect Ownership Interest Oct 24, 2025 5.04%
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 Jul 29, 2025 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 Jul 29, 2025 100%
Jerney M Paul Individual W-2 Managing EmployeeAd; Sep 1, 2025
Operational/Managerial ControlRdco/Administrator Sep 1, 2025
STCH MCHS Wi Acquisitionco 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 Jul 29, 2025 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 Jul 29, 2025 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 Jul 29, 2025 100%
Mandy L Cogswell Individual W-2 Managing EmployeeChief Clinical Officer Jul 29, 2025
Operational/Managerial ControlChief Clinical Officer Jul 29, 2025
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%
Kristine K Reesman Individual W-2 Managing EmployeeMD; Sep 1, 2025
Operational/Managerial ControlRegional Medical Director Sep 1, 2025
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%
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 Jul 29, 2025 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 Jul 29, 2025 100%
Heath a Bartness Individual Corporate OfficerCeo Jul 29, 2025
Corporate DirectorCeo Jul 29, 2025
W-2 Managing EmployeeCeo Jul 29, 2025
Operational/Managerial ControlCeo Jul 29, 2025
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%
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%
STCH Wi 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 Jul 29, 2025 100%

Change-of-ownership history 1

Medicare enrollment files
DateEventCounterparty
Sep 1, 2025 Change of OwnershipThis provider was the buyer Mayo Clinic Health System in Eau ClaireCCN 521519, WI, NPI 1407883713

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20251009001453 WI Part a Provider - Hospice 6305343922 Practice locations: Hudson, WI; River Falls, WI

National Provider Directory

National Provider Directory

Locations

2220 Jack Breault Dr
Ste 300
Hudson, WI 54016
Phone (534) 200-4502

625 Whitetail Blvd
Ste 101
River Falls, WI 54022
Phone (715) 598-2628

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2220 Jack Breault Dr Ste 300
Hudson, WI 54016-4548

Mailing address

1175 Centre Pointe Cir
Mendota Heights, MN 55120-5500
Phone (651) 328-6934

Other names 1

NPPES NPI Registry
  • St Croix Hospice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2026.

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1740166693",
    "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": "2220 JACK BREAULT DR STE 300",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164548",
            "telephone_number": "534-200-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STCH NW WI OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Croix Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.