STCH Hccmm LLC
Organization Active NPI Community Based Hospice Care Agency · Moberly, MO
NPI 1851963391 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1851963391
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- STCH HCCMM LLC
- Practice address
- 1517 Union Ave Ste D
Moberly, MO 65270-9471 - Phone
- (660) 263-1517
- NPI assigned
- Jul 14, 2021
- Organization subpart
- No
Authorized official
- Name
- Stephen Phenneger
- Title
- Cfo and President
- Phone
- (612) 544-6133
Owners & managing parties with NPI records 15
-
Andrew G Mayo, M.D.
Member of 1
Change of ownership 1
Facilities with the same owner 36
Affiliated clinicians 25
-
Mark Anthony Angles, M.D.
-
George W Carr, MD
-
Navin Choudhary, MD
-
Stephen E. Halpin, M.D.
-
Michael D Jones, MD
-
Michael P Jones, MD
-
David J Knorr, D.O.
-
Erik J Meidl, M.D.
-
Gina Pontius, M.D.
-
Raman Puri, M.D.
-
Michael Lee Quinlan, M.D.
-
Kurt T Schultz, MD
-
Beth Ann Sjoblom, MD
-
Richard Lee Smith, M.D.
-
Ruanne M Stamps, MD
-
Philip Stitzer, DO
-
Catherine M Vanvoorn, M.D.
-
Dustin Warbritton, D.O.
-
Rodney Lynn Yager, D.O.
-
Shahbaz A. Riaz, MD
-
Jeffrey Wells, DO
Medicare Care Compare: Hospice
- Listed as
- St. Croix Hospice
- Ownership
- Non-Profit
- Certified
- Feb 5, 1996
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1104205 | St Croix Hospice | Certificate of waiver | Sep 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
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 · Proprietary
- Incorporated
- Mar 16, 2020 in MS
- Enrollment address
- 1517 Union Ave
Ste D
Moberly, MO 65270-9471
All disclosed owners & managing parties 28
| 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% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2021 | Change of Ownership |
Homecare of Mid Missouri Hospice |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210921000408 | MO | Part a Provider - Hospice | 9739586678 | Practice locations: Jefferson City, MO; Moberly, MO |
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
1517 Union Ave
Ste D
Moberly, MO 65270
Phone (660) 263-1517
102 W Reed St
Moberly, MO 65270
Phone (660) 263-1517
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- ST CROIX HOSPICE
NPI Registry JSON
{
"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"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.