NPIMap

Organization Active NPI

St Croix Hospice LLC

Doing business as St Croix Hospice

  • Community Based Hospice Care Agency
  • Grand Rapids, MN
National Provider Identifier
1770142762
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ST CROIX HOSPICE LLC
Doing business as
St Croix Hospice
Practice address
1001 S Pokegama Ave Ste D
Grand Rapids, MN 55744-3919
Phone
(218) 212-7915
Fax
(218) 301-0725
NPI assigned
Jun 12, 2019
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 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 NU Primary

Addresses

Primary practice location

1001 S Pokegama Ave Ste D
Grand Rapids, MN 55744-3919

Mailing address

1175 Centre Pointe Cir
Mendota Heights, MN 55120-5500
Phone (651) 735-3656

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
O20190626002257 MN Part A Provider - Hospice 2264596121 Practice locations: Bemidji, MN; Duluth, MN; Grand Rapids, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770142762. Details of each certification follow.

Hospice certification: CCN 241606

Legal name
ST CROIX HOSPICE LLC
Doing business as
ST CROIX HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 21, 2019
Last certification
Oct 21, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 23, 2012 in MN
Enrollment address
1001 S Pokegama Ave
Ste D
Grand Rapids, MN 55744-3919

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
St Croix HospiceCCN 241606 · All quality measures
Ownership
For-Profit
Certified
Oct 21, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
St Croix Hospice LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 19

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 Oct 30, 2020 100%
Andrew Graham Mayo Individual W-2 Managing EmployeeChief Medical Officer Sep 29, 2014
Operational/Managerial ControlChief Medical Officer Sep 29, 2014
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
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 Sep 29, 2017 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 Oct 30, 2020 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 Oct 1, 2017
Operational/Managerial ControlChief Clinical Officer Oct 1, 2017
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%
Kelly J Goeb Individual W-2 Managing EmployeeMD; Oct 26, 2020
Operational/Managerial ControlRegional Medical Director Oct 26, 2020
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%
Lynae E Bednar Individual W-2 Managing EmployeeAd; May 6, 2024
Operational/Managerial ControlRdco/Administrator May 6, 2024
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 Direct Ownership Interest Oct 1, 2013 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, 2013
Corporate DirectorCeo Feb 28, 2013
W-2 Managing EmployeeCeo Feb 28, 2013
Operational/Managerial ControlCeo Feb 28, 2013
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 2

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

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Croix Hospice LombardLombard, IL, CCN 141624 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2022
St Croix HospiceSaint Peters, MO, CCN 261633 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 9, 2024
St Croix HospiceHarrisonville, MO, CCN 261648 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 9, 2024
St Croix HospiceTroy, MI, CCN 231635 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 18, 2024
St Croix HospiceWaukesha, WI, CCN 521596 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 18, 2024
St Croix HospiceJeffersonville, IN, CCN 151623 Hospice 5% Or Greater Indirect Ownership Interest (100%) Aug 1, 2022
St Croix Hospice Des PlainesPalos Heights, IL, CCN 141660 Hospice Operational/Managerial Control Jul 1, 2021
St Croix HospiceRockford, IL, CCN 141621 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 18, 2024
St Croix HospiceBolivar, MO, CCN 261630 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 9, 2024
St. Croix HospiceIndianapolis, IN, CCN 151637 Hospice 5% Or Greater Indirect Ownership Interest (100%) Aug 1, 2022
St Croix HospiceNewburgh, IN, CCN 151639 Hospice 5% Or Greater Indirect Ownership Interest (100%) Aug 1, 2022
St Croix HospiceMoberly, MO, CCN 261570 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 9, 2024
St Croix Hospice PlymouthLivonia, MI, CCN 231653 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 29, 2022
St Croix HospiceGreen Bay, WI, CCN 521616 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 15, 2022
St Croix HospiceSaint Cloud, MN, CCN 241620 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 5, 2023
St Croix HospiceWausau, WI, CCN 521622 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 5, 2023
St Croix HospiceMinnetonka, MN, CCN 241623 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 5, 2023
St Croix HospiceMoose Lake, MN, CCN 241629 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 28, 2024
St Croix HospiceMankato, MN, CCN 241503 Hospice 5% Or Greater Indirect Ownership Interest (100%) Dec 23, 2024
St Croix HospiceSouth Sioux City, NE, CCN 281547 Hospice 5% Or Greater Indirect Ownership Interest (100%) Oct 28, 2024
St Croix HospiceArnold, MO, CCN 261716 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 22, 2024
St Croix HospiceMoline, IL, CCN 141747 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 28, 2024
St Croix HospiceHudson, WI, CCN 521519 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 29, 2025
St Croix HospiceLa Crosse, WI, CCN 521507 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 29, 2025

Owned or controlled facilities with NPI records 24

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 24

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
  • 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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    CMS ownership
  • STCH Wayzata MN LLC

    dba St Croix Hospice

    • Community Based Hospice Care Agency
    • Minnetonka, MN
    • NPI 1699558379

    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
  • 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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    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, STCH Acquisition Inc, STCH Intermediate Inc, STCH Parent Inc, TVG-STC Intermediate Corp

    CMS ownership
View all 36

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1770142762",
    "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": "651-735-3656",
            "fax_number": "651-735-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S POKEGAMA AVE STE D",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443919",
            "telephone_number": "218-212-7915",
            "fax_number": "218-301-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST CROIX HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.