ST CROIX HOSPICE LLC
NPI 1871840975
Hospice Care, Community Based in Council Bluffs, IA

NPI Status: Active since August 07, 2012

Contact Information

1920 RUE ST STE 3
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 318-2120
Fax: (712) 396-2008

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 16D2045473
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 08-13-2026

About ST CROIX HOSPICE LLC

This page provides the complete NPI Profile along with additional information for St Croix Hospice Llc, a provider established in Council Bluffs, Iowa operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1871840975 assigned on August 2012. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The provider's . The authorized official of this NPI record is Stephen Phenneger (Cfo And President)

NPI
1871840975
Provider Legal Name
ST CROIX HOSPICE LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1920 RUE ST STE 3 COUNCIL BLUFFS, IA 51503
Location Phone
(712) 318-2120
Location Fax
(712) 396-2008
Mailing Address
1175 CENTRE POINTE CIR MENDOTA HEIGHTS, MN 55120
Mailing Phone
(651) 735-3656
Mailing Fax
(712) 396-2008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2012
Last Update Date
05-21-2026
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According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 02-05-2013 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
  • Bronze Simple Diabetes - EPO
  • Bronze Simple Diabetes | with Bryan Health - EPO
  • Gold Classic Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN PHENNEGER

Authorized Official Title
CFO AND PRESIDENT
Authorized Official Phone
(612) 544-6133

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)161602
Ownership TypeFor-Profit
Medicare Certification Date02-05-2013
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
72.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
12
Care Provided in Home
Percentage of days patients received care in home
36
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
Not Available - Number of patients is too small to report.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
Not Available - Number of patients is too small to report.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
50
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100.0
Hospice and Palliative Care Pain Screening
Facility observed rate
100.0
Hospice and Palliative Care Pain Assessment
Facility observed rate
99.4
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
100.0
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
100.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
99.8
Hospice Visits in the Last Days of Life
684
Hospice Visits in the Last Days of Life
Facility observed rate
68.0
Hospice Care Index Overall Score
Facility observed rate
9.0
CHC/GIP provided (% days)
68,805
CHC/GIP provided (% days)
Facility observed rate
0.0
CHC/GIP provided (% days)
51
Gaps in nursing visits (% elections)
468
Gaps in nursing visits (% elections)
Facility observed rate
29.9
Gaps in nursing visits (% elections)
19
Early live discharges (% live discharges)
74
Early live discharges (% live discharges)
Facility observed rate
10.8
Early live discharges (% live discharges)
80
Late live discharges (% live discharges)
74
Late live discharges (% live discharges)
Facility observed rate
32.4
Late live discharges (% live discharges)
30
Burdensome transitions, Type 1(% live discharges)
74
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
8.1
Burdensome transitions, Type 1 (% live discharges)
58
Burdensome transitions, Type 2(% live discharges)
74
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
6.8
Burdensome transitions, Type 2 (% live discharges)
94
Per-beneficiary spending (U.S. dollars $)
962
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
11,818
Per-beneficiary spending (U.S. dollars $)
22
Nurse care minutes per routine home care days (minutes)
68,697
Nurse care minutes per routine home care days (minutes)
Facility observed rate
15.7
Nurse care minutes per routine home care days (minutes)
80
Skilled nursing minutes on weekends (% minutes)
1,077,750
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
10.4
Skilled nursing minutes on weekends (% minutes)
73
Visits near death (% decedents)
789
Visits near death (% decedents)
Facility observed rate
96.7
Visits near death (% decedents)
78
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
26
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
15
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
17
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
4
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
5
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
8
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D2045473
Facility Type
Hospice
Certificate Effective Date
August 14, 2024
Certificate Expiration Date
August 13, 2026
Laboratory Director
TRACEE GETTYS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Croix Hospice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871840975, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 6 + 4 + 0 + 9 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1871840975.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871840975, enumerated as an "organization" on August 07, 2012.

The provider is located at 1920 RUE ST STE 3 COUNCIL BLUFFS, IA 51503 and the phone number is (712) 318-2120.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.