OrganizationActive
Stch Wayzata Mn LLC
NPI 1699558379 · Community Based Hospice Care Agency · Minnetonka, MN
Provider details
- NPI number
- 1699558379
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Stephen Phenneger, Cfo and President(612) 544-6133
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13911 Ridgedale Dr Ste 190
Minnetonka, MN 55305-1700
Phone: (952) 746-9649
Street-level locationGet directions
Mailing address
1175 Centre Pointe Cir
Mendota Heights, MN 55120-5500
Other names (DBA / former)
- Doing business as
- St Croix Hospice
Registry dates
- Enumerated
- 2023-08-16
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.