Stch Moose Lake Opco LLC
NPI 1982463139 · Community Based Hospice Care Agency · Moose Lake, MN
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stch Moose Lake Opco LLC is a Community Based Hospice Care Agency organization in Moose Lake, MN (NPI 1982463139).
Provider details
- NPI number
- 1982463139
- 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
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
Mailing address
Other names (DBA / former)
- Doing business as
- St Croix Hospice
Registry dates
- Enumerated
- 2024-03-18
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Frequently asked questions
- What is Stch Moose Lake Opco LLC's NPI number?
- Stch Moose Lake Opco LLC's National Provider Identifier (NPI) is 1982463139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stch Moose Lake Opco LLC?
- Stch Moose Lake Opco LLC is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Stch Moose Lake Opco LLC located?
- Stch Moose Lake Opco LLC's practice location on file with NPPES is 441 Arrowhead Ln Ste 3, Moose Lake, MN 55767-7702.
- What is Stch Moose Lake Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Stch Moose Lake Opco LLC is (218) 389-7681.
- Does Stch Moose Lake Opco LLC accept Medicare?
- Stch Moose Lake Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stch Moose Lake Opco LLC?
- The authorized official listed on Stch Moose Lake Opco LLC's NPPES record is Stephen Phenneger, Cfo and President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stch Moose Lake Opco LLC's NPI active?
- Yes — Stch Moose Lake Opco LLC's NPI (1982463139) is active in the NPPES registry as of the last update on 2026-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.