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ST CROIX HOSPICE LLC
NPI 1770142762
Hospice Care, Community Based in Grand Rapids, MN

Active since June 12, 2019CLIA 24D2173752 · Waiver
1001 S POKEGAMA AVE STE D, GRAND RAPIDS, MN 55744(218) 212-7915(218) 301-0725 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2026, Nov 2, 2022, Jun 12, 2019 (3 updates tracked since 2019).

About St Croix Hospice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST CROIX HOSPICE LLC (NPI 1770142762), doing business as St Croix Hospice, is a healthcare organization registered as a hospice care, community based in Grand Rapids, Minnesota and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Stephen Phenneger, Cfo And President, as its authorized official.

NPPES Registry Identity

NPI1770142762
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameST CROIX HOSPICE LLC
Location Address1001 S POKEGAMA AVE STE DGrand Rapids, MN 55744-3919
Mailing Address1175 Centre Pointe CirMendota Heights, MN 55120-5500 · (651) 735-3656 · Fax (651) 735-0155
Phone(218) 212-7915
Fax(218) 301-0725
Organization SubpartNo
Authorized OfficialStephen PhennegerCfo And President · (612) 544-6133
Enumeration DateJune 12, 2019
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1770142762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1001 S POKEGAMA AVE STE D, Grand Rapids, MN 55744
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Croix Hospice

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 24D2173752

St Croix Hospice-Grand Rapids · Grand Rpds, MN
Active · expires Oct 17, 2027
CLIA Number24D2173752
Laboratory TypeHospice
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorJessica Ryan
Laboratory Phone(218) 212-7915
Laboratory LocationSt Croix Hospice-Grand Rapids350 NW 1st Ave, Grand Rpds, MN 55744
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for St Croix Hospice (CMS certification number 241606), from CMS Care Compare.

St Croix Hospice

Hospice · Grand Rapids, MN
OwnershipFor-Profit
CMS Certification Number241606
CMS RegionRegion 5
Medicare-Certified SinceOctober 21, 2019
Average Daily Census15patients per day on average
Location1001 S Pokegama Ave Ste DGrand Rapids, MN 55744 · Itasca County
Phone(218) 212-7915
Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home27%
Assisted living facility38%
Nursing facility34%
Skilled nursing facility0%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations1%
Patients with cancer
16%
Patients with dementia
21%
Patients with circulatory or heart disease
27%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
676 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
676 patient stays
100%
Hospice and Palliative Care Pain Screening
676 patient stays
99.9%
Hospice and Palliative Care Pain Assessment
265 patient stays
99.6%
Hospice and Palliative Care Dyspnea Screening
676 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
265 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
132 patient stays
100%
Hospice and Palliative Care Composite Process Measure
676 patient stays
99.7%
Hospice Visits in the Last Days of Life
891 patient stays
80.9%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 60
61.4%
Early live discharges
National percentile 45
5.3%
Late live discharges
National percentile 49
38.9%
Burdensome transitions, Type 1
National percentile 47
6.2%
Burdensome transitions, Type 2
National percentile 59
1.8%
Per-beneficiary spending
National percentile 49
$16,526
Nurse care minutes per routine home care days
National percentile 59
13 minutes
Skilled nursing minutes on weekends
National percentile 63
9.2%
Visits near death
National percentile 71
95.9%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Frequently 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 1770142762. It was assigned to this organization in the NPPES registry on June 12, 2019. The provider is doing business as St Croix Hospice.

Where is St Croix Hospice LLC located?

St Croix Hospice LLC is located at 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744. The listed phone number is (218) 212-7915.

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 24D2173752) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is St Croix Hospice LLC a Medicare-certified hospice?

Yes. St Croix Hospice is a Medicare-certified hospice (CMS certification number 241606), certified since October 21, 2019.

When was this NPI record last updated?

The NPPES record for St Croix Hospice LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.