Active NPI
STCH Hccmm LLC
Doing business as St Croix Hospice
- Community Based Hospice Care Agency
- Moberly, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 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
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hospice
- Ownership
- Non-Profit
- Certified
- Feb 5, 1996
- 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 |
|---|---|---|---|
| 26D1104205 | St Croix Hospice | Certificate of waiver | Sep 12, 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
- Council Bluffs, IA
- NPI 1871840975
Member Of
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.
| 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 9, 2021 | 100% |
| Andrew Graham Mayo | W-2 Managing Employee | Jul 9, 2021 | |
| Operational/Managerial Control | Jul 9, 2021 | ||
| Stephen C Phenneger | Corporate Officer | Jul 9, 2021 | |
| Corporate Director | Jul 9, 2021 | ||
| W-2 Managing Employee | Jul 9, 2021 | ||
| Operational/Managerial Control | Jul 9, 2021 | ||
| 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 | Jul 9, 2021 | 100% |
| STCH Acquisition Inc | 5% Or Greater Indirect Ownership Interest | Jul 9, 2021 | 100% |
| St Croix Hospice LLC | 5% Or Greater Indirect Ownership Interest | Feb 9, 2024 | 100% |
| STCH LLC Acquisition LLC | 5% Or Greater Direct Ownership Interest | Jul 9, 2021 | 100% |
| STCH Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Jul 9, 2021 | 100% |
| Mandy L Cogswell | W-2 Managing Employee | Jul 9, 2021 | |
| Operational/Managerial Control | Jul 9, 2021 | ||
| Hig STCH II LP | 5% Or Greater Indirect Ownership Interest | Oct 24, 2025 | 13.71% |
| Kristen a Burkhardt | W-2 Managing Employee | Mar 24, 2024 | |
| Operational/Managerial Control | Mar 24, 2024 | ||
| 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 | Sep 1, 2021 | |
| Operational/Managerial Control | Sep 1, 2021 | ||
| 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 9, 2021 | 100% |
| STCH Parent Inc | 5% Or Greater Indirect Ownership Interest | Jul 9, 2021 | 100% |
| Heath a Bartness | Corporate Officer | Jul 9, 2021 | |
| Corporate Director | Jul 9, 2021 | ||
| W-2 Managing Employee | Jul 9, 2021 | ||
| Operational/Managerial Control | Jul 9, 2021 | ||
| 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% |
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
- Harrisonville, MO
- NPI 1730464033
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
- 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
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2021 | Change of Ownership | Homecare of Mid Missouri Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba HomeCare of Mid Missouri Hospice
- Community Based Hospice Care Agency
- Moberly, MO
- NPI 1811020050
Acquired from, 2021-09-01
Practitioners & affiliated clinicians
Affiliated clinicians 25
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": "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
- Jeff Scott Snodgrass, D.C.
- Rachael Elizabeth Soles, FNP-C
- Housam Soukieh, MD
- Kelley Diane Speakar, MA, CCC-SLP
- SRZ Op Valley View LLC (Valley View Health & Rehabilitation)
- Philip Stitzer, DO
- Matthew M Stocks, LPC
- Han Chuan Su
- Sunlight Counseling LLC
- Sunnybrook Investments, Inc. (Mark Twain Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.