OrganizationActiveAccepts Medicare
St Croix Hospice LLC
NPI 1770142762 · Community Based Hospice Care Agency · Grand Rapids, MN
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1770142762
- 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(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1001 S Pokegama Ave Ste D
Grand Rapids, MN 55744-3919
Phone: (218) 212-7915
Fax: (218) 301-0725
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
- 2019-06-12
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.