ST CROIX HOSPICE LLC
NPI 1376127548
Hospice Care, Community Based in Maple Grove, MN
About St Croix Hospice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST CROIX HOSPICE LLC (NPI 1376127548), doing business as St Croix Hospice, is a healthcare organization registered as a hospice care, community based in Maple Grove, Minnesota and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Kimberly A Olson, Cco, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2331878
St Croix Hospice · Maple Grove, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is St Croix Hospice LLC's NPI number?
The NPI number for St Croix Hospice LLC is 1376127548. It was assigned to this organization in the NPPES registry on May 12, 2021. The provider is doing business as St Croix Hospice.
Where is St Croix Hospice LLC located?
St Croix Hospice LLC is located at 7830 Main St N Ste 210, Maple Grove, MN 55369. The listed phone number is (763) 244-2274.
What is St Croix Hospice LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does St Croix Hospice LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2331878) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St Croix Hospice LLC was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# St Croix Hospice Llc · NPI 1376127548
Hospice Care, Community Based organization in Maple Grove, Minnesota. Organization record, active in the CMS NPPES registry since May 12, 2021.
## Identity
- **NPI:** 1376127548 (Entity type: Organization)
- **Enumerated:** May 12, 2021
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Also known as:** St Croix Hospice (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kimberly Olson, CCO
## Practice location
- **Address:** 7830 MAIN ST N STE 210, Maple Grove, MN 55369-7069
- **Phone:** (763) 244-2274
## Record status
- **NPPES last updated:** May 12, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376127548) · Data from the CMS NPPES public registry.