STCH MOOSE LAKE OPCO LLC
NPI 1982463139
Hospice Care, Community Based in Moose Lake, MN
Active since March 18, 2024
About Stch Moose Lake Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STCH MOOSE LAKE OPCO LLC (NPI 1982463139), doing business as St Croix Hospice, is a healthcare organization registered as a hospice care, community based in Moose Lake, Minnesota and active in the NPI registry since March 2024. The organization lists Stephen Phenneger, Cfo And President, as its authorized official.
NPPES Registry Identity
NPI1982463139
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSTCH MOOSE LAKE OPCO LLC
Location Address441 ARROWHEAD LN STE 3Moose Lake, MN 55767-7702
Mailing Address1175 Centre Pointe CirMendota Heights, MN 55120-5500 · (651) 328-6934
Phone(218) 389-7681
Organization SubpartNo
Authorized OfficialStephen PhennegerCfo And President · (612) 544-6133
Enumeration DateMarch 18, 2024
Last NPPES UpdateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1982463139 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
441 ARROWHEAD LN STE 3, Moose Lake, MN 55767
Other Names 1
Doing Business AsSt Croix Hospice
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982463139, enumerated as an "organization" on March 18, 2024.
The provider is located at 441 ARROWHEAD LN STE 3 MOOSE LAKE, MN 55767 and the phone number is (218) 389-7681.
Hospice Care, Community Based with taxonomy code 251G00000X.
