Organization Active NPI

STCH Hccmm LLC

Doing business as St Croix Hospice

  • Community Based Hospice Care Agency
  • Moberly, MO
National Provider Identifier
1851963391
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
STCH HCCMM LLC
Doing business as
St Croix Hospice
Practice address
1517 Union Ave Ste D
Moberly, MO 65270-9471
Phone
(660) 263-1517
NPI assigned
Jul 14, 2021
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 Primary

Addresses

Primary practice location

1517 Union Ave Ste D
Moberly, MO 65270-9471

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 MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210921000408 MO Part A Provider - Hospice 9739586678 Practice locations: Jefferson City, MO; Moberly, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851963391. Details of each certification follow.

Hospice certification: CCN 261570

Legal name
STCH HCCMM LLC
Doing business as
ST CROIX HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 5, 1996
Last certification
Feb 7, 2020
Ownership / control type
Non-Profit - Private
Organization structure
LLCProprietary
Incorporated
Mar 16, 2020 in MS
Enrollment address
1517 Union Ave
Ste D
Moberly, MO 65270-9471

Care Compare: Hospice

Medicare Care Compare
Listed as
St. Croix HospiceCCN 261570 · All quality measures
Ownership
Non-Profit
Certified
Feb 5, 1996
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
26D1104205St Croix Hospice1517 Union Ave Ste D, Moberly, MO 65270Certificate of waiverSep 12, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1706 Missouri Blvd
Jefferson City, MO 65109
Phone (660) 864-0062

601 Monroe St
Ste 304
Jefferson City, MO 65101
Phone (573) 677-4426

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
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 9, 2021 100%
Andrew Graham Mayo Individual W-2 Managing EmployeeChief Medical Officer Jul 9, 2021
Operational/Managerial ControlChief Medical Officer Jul 9, 2021
Stephen C Phenneger Individual Corporate OfficerCfo and President Jul 9, 2021
Corporate DirectorCfo and President Jul 9, 2021
W-2 Managing EmployeeCfo and President Jul 9, 2021
Operational/Managerial ControlCfo and President Jul 9, 2021
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, Chicago, IL Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 9, 2021 100%
STCH Acquisition Inc Organization, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 9, 2021 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 LLC Acquisition LLC Organization, Miami, FL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 9, 2021 100%
STCH Intermediate Inc Organization, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 9, 2021 100%
Mandy L Cogswell Individual W-2 Managing EmployeeChief Clinical Officer Jul 9, 2021
Operational/Managerial ControlChief Clinical Officer Jul 9, 2021
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; Mar 24, 2024
Operational/Managerial ControlAdministrator/Statewide Clinical Di Mar 24, 2024
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; Sep 1, 2021
Operational/Managerial ControlRegional Medical Director Sep 1, 2021
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, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 9, 2021 100%
STCH Parent Inc Organization, Oakdale, MN Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 9, 2021 100%
Heath a Bartness Individual Corporate OfficerCeo Jul 9, 2021
Corporate DirectorCeo Jul 9, 2021
W-2 Managing EmployeeCeo Jul 9, 2021
Operational/Managerial ControlCeo Jul 9, 2021
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%

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

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2021 Change of OwnershipThis provider was the buyer Homecare of Mid Missouri HospiceCCN 261570, MO, NPI 1811020050

Change of ownership 1

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

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": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1851963391",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 UNION AVE STE D",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709471",
            "telephone_number": "660-263-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STCH HCCMM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST CROIX HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST CROIX HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.