Active NPI
STCH NW Wi Opco LLC
Doing business as St Croix Hospice
- Community Based Hospice Care Agency
- Hudson, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- STCH NW WI OPCO LLC
- Doing business as
- St Croix Hospice
- Practice address
- 2220 Jack Breault Dr Ste 300
Hudson, WI 54016-4548 - Phone
- (534) 200-4502
- NPI assigned
- Aug 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
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
- St Croix Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251009001453 | WI | Part A Provider - Hospice | 6305343922 | Practice locations: Hudson, WI; River Falls, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740166693. Details of each certification follow.
Hospice certification: CCN 521519
- 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
- LLC
- Enrollment address
- 2220 Jack Breault Dr
Ste 300
Hudson, WI 54016-4548
Care Compare: Hospice
Medicare Care Compare- Listed as
- St Croix Hospice Hudson
- Ownership
- Non-Profit
- Certified
- Mar 3, 1988
- 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 |
|---|---|---|---|
| 52D2329361 | St Croix Hospice | Certificate of waiver | Aug 26, 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
- Albert Lea, MN
- NPI 1437721750
Member Of
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
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 |
|---|---|---|---|
| Melissa a Andrews | Contracted Managing Employee | Oct 24, 2025 | |
| Operational/Managerial Control | Oct 24, 2025 | ||
| Qsuper Global Private Equity TR | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.04% |
| Antares Capital LP | 5% Or Greater Security Interest | Jul 29, 2025 | 100% |
| Andrew Graham Mayo | W-2 Managing Employee | Jul 29, 2025 | |
| Operational/Managerial Control | Jul 29, 2025 | ||
| Stephen C Phenneger | Corporate Officer | Jul 29, 2025 | |
| Corporate Director | Jul 29, 2025 | ||
| W-2 Managing Employee | Jul 29, 2025 | ||
| Operational/Managerial Control | Jul 29, 2025 | ||
| The State Public Sector | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 5.04% |
| TVG-STC Intermediate Corp | 5% Or Greater Indirect Ownership Interest | Jul 29, 2025 | 100% |
| STCH Acquisition Inc | 5% Or Greater Indirect Ownership Interest | Jul 29, 2025 | 100% |
| Jerney M Paul | W-2 Managing Employee | Sep 1, 2025 | |
| Operational/Managerial Control | Sep 1, 2025 | ||
| STCH MCHS Wi Acquisitionco LLC | 5% Or Greater Direct Ownership Interest | Jul 29, 2025 | 100% |
| St Croix Hospice LLC | 5% Or Greater Indirect Ownership Interest | Jul 29, 2025 | 100% |
| STCH Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Jul 29, 2025 | 100% |
| Mandy L Cogswell | W-2 Managing Employee | Jul 29, 2025 | |
| Operational/Managerial Control | Jul 29, 2025 | ||
| Hig STCH II LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 13.71% |
| Kristine K Reesman | W-2 Managing Employee | Sep 1, 2025 | |
| Operational/Managerial Control | Sep 1, 2025 | ||
| 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% |
| 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 | Jul 29, 2025 | 100% |
| STCH Parent Inc | 5% Or Greater Indirect Ownership Interest | Jul 29, 2025 | 100% |
| Heath a Bartness | Corporate Officer | Jul 29, 2025 | |
| Corporate Director | Jul 29, 2025 | ||
| W-2 Managing Employee | Jul 29, 2025 | ||
| Operational/Managerial Control | Jul 29, 2025 | ||
| 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% |
| Partners Group Global Value Sicav | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 9.3% |
| STCH Wi Holdco LLC | 5% Or Greater Indirect Ownership Interest | Jul 29, 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.
-
- Internal Medicine Physician
- Eau Claire, WI
- NPI 1275573214
Operational/Managerial Control, W-2 Managing Employee
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Eau Claire, WI
- NPI 1841601952
5% Or Greater Indirect Ownership Interest
-
dba St. Croix Hospice
- Community Based Hospice Care Agency
- Baraboo, WI
- NPI 1649589540
5% Or Greater Indirect Ownership Interest
-
- Family Medicine Physician
- Omaha, NE
- NPI 1316059660
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
Facilities with the same owner 36
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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
- Community Based Hospice Care Agency
- Eau Claire, WI
- NPI 1841601952
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
- Baraboo, WI
- NPI 1649589540
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
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Green Bay, WI
- NPI 1487378956
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, STCH Wi Holdco L
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- La Crosse, WI
- NPI 1962388736
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
- Wausau, WI
- NPI 1932982618
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
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2025 | Change of Ownership | Mayo Clinic Health System in Eau Claire |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Eau Claire, WI
- NPI 1407883713
Acquired from, 2025-09-01
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1316059660
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Baldwin, WI
- NPI 1336105840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- 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.